Malignant Hyperthermia: An Anesthesiology Simulation Case for Early Anesthesia Providers

Introduction The patient is a 40-kg, 12-year-old Caucasian male with history of asthma who is undergoing an elective inguinal hernia repair. There is no family history of anesthesia-related complications. The surgery proceeds under general anesthesia with an IV induction with propofol, fentanyl, and...

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Autores principales:	Johnny Quick, Rachana Murthy, Nitin Goyal, Steven Margolis, Gregory Pond, Kimberly Jenkins
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2017
Materias:	Simulation Anesthesiology Malignant Hyperthermia Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/1beaf5707a6148de92d1960ff97836b3
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spelling	oai:doaj.org-article:1beaf5707a6148de92d1960ff97836b32021-12-03T14:16:50ZMalignant Hyperthermia: An Anesthesiology Simulation Case for Early Anesthesia Providers10.15766/mep_2374-8265.105502374-8265https://doaj.org/article/1beaf5707a6148de92d1960ff97836b32017-03-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10550https://doaj.org/toc/2374-8265Introduction The patient is a 40-kg, 12-year-old Caucasian male with history of asthma who is undergoing an elective inguinal hernia repair. There is no family history of anesthesia-related complications. The surgery proceeds under general anesthesia with an IV induction with propofol, fentanyl, and succinylcholine; intubation under direct laryngoscopy; and maintenance with isoflurane. During the surgery, he develops malignant hyperthermia (MH). Methods Learners are to identify the signs of MH, including tachycardia, hypercapnia, muscle rigidity, and renal failure, and provide the appropriate treatment, resuscitation, and follow-up care. Anesthesiology faculty in the room assist and offer guided instruction to aid the learners in achieving these goals. Results The simulation was completed by 24 medical students with 2 weeks of anesthesia training and daily lectures on various anesthesia topics. Verbal feedback from the learners was positive, and many appreciated the preparation in how to prioritize the management of such a rare but life-threatening anesthesia emergency. Based on reviewers' recommendations, a learner evaluation of the session and pre- and posttest exams have been developed but have not yet been used with learners. Discussion The simulation not only was received well by the students but was also crucial to understanding the benefits of simulation training in the field of anesthesiology, especially when rare diseases are difficult to encounter in real life. Future simulations will incorporate other rare but important disease processes in the simulation training environment to allow anesthesia providers to learn in a safe setting without detriment to any patient.Johnny QuickRachana MurthyNitin GoyalSteven MargolisGregory PondKimberly JenkinsAssociation of American Medical CollegesarticleSimulationAnesthesiologyMalignant HyperthermiaMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 13 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Anesthesiology Malignant Hyperthermia Medicine (General) R5-920 Education L
spellingShingle	Simulation Anesthesiology Malignant Hyperthermia Medicine (General) R5-920 Education L Johnny Quick Rachana Murthy Nitin Goyal Steven Margolis Gregory Pond Kimberly Jenkins Malignant Hyperthermia: An Anesthesiology Simulation Case for Early Anesthesia Providers
description	Introduction The patient is a 40-kg, 12-year-old Caucasian male with history of asthma who is undergoing an elective inguinal hernia repair. There is no family history of anesthesia-related complications. The surgery proceeds under general anesthesia with an IV induction with propofol, fentanyl, and succinylcholine; intubation under direct laryngoscopy; and maintenance with isoflurane. During the surgery, he develops malignant hyperthermia (MH). Methods Learners are to identify the signs of MH, including tachycardia, hypercapnia, muscle rigidity, and renal failure, and provide the appropriate treatment, resuscitation, and follow-up care. Anesthesiology faculty in the room assist and offer guided instruction to aid the learners in achieving these goals. Results The simulation was completed by 24 medical students with 2 weeks of anesthesia training and daily lectures on various anesthesia topics. Verbal feedback from the learners was positive, and many appreciated the preparation in how to prioritize the management of such a rare but life-threatening anesthesia emergency. Based on reviewers' recommendations, a learner evaluation of the session and pre- and posttest exams have been developed but have not yet been used with learners. Discussion The simulation not only was received well by the students but was also crucial to understanding the benefits of simulation training in the field of anesthesiology, especially when rare diseases are difficult to encounter in real life. Future simulations will incorporate other rare but important disease processes in the simulation training environment to allow anesthesia providers to learn in a safe setting without detriment to any patient.
format	article
author	Johnny Quick Rachana Murthy Nitin Goyal Steven Margolis Gregory Pond Kimberly Jenkins
author_facet	Johnny Quick Rachana Murthy Nitin Goyal Steven Margolis Gregory Pond Kimberly Jenkins
author_sort	Johnny Quick
title	Malignant Hyperthermia: An Anesthesiology Simulation Case for Early Anesthesia Providers
title_short	Malignant Hyperthermia: An Anesthesiology Simulation Case for Early Anesthesia Providers
title_full	Malignant Hyperthermia: An Anesthesiology Simulation Case for Early Anesthesia Providers
title_fullStr	Malignant Hyperthermia: An Anesthesiology Simulation Case for Early Anesthesia Providers
title_full_unstemmed	Malignant Hyperthermia: An Anesthesiology Simulation Case for Early Anesthesia Providers
title_sort	malignant hyperthermia: an anesthesiology simulation case for early anesthesia providers
publisher	Association of American Medical Colleges
publishDate	2017
url	https://doaj.org/article/1beaf5707a6148de92d1960ff97836b3
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Malignant Hyperthermia: An Anesthesiology Simulation Case for Early Anesthesia Providers

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