It is important to recognize susceptible patients before giving them anesthesia. Clues may be obtained from the family history or previous episodes. Episodes of malignant hyperthermia may be prevented by giving dantrolene sodium before anesthesia. It is important to avoid stimulant drugs such as cocaine, amphetamine (speed) and ecstasy (an amphetamine derivative) as they may produce malignant hyperthermia-like problems in susceptible individuals. Genetic counseling is recommended for anyone with a family history of myopathy, muscular dystrophy or malignant hyperthermia.
|