TY - JOUR
T1 - Malignant Hyperthermia-Susceptible Adult Patient and Ambulatory Surgery Center
T2 - Society for Ambulatory Anesthesia and Ambulatory Surgical Care Committee of the American Society of Anesthesiologists Position Statement
AU - Urman, Richard D.
AU - Rajan, Niraja
AU - Belani, Kumar
AU - Gayer, Steven
AU - Joshi, Girish P
PY - 2019/8/1
Y1 - 2019/8/1
N2 - This document represents a joint effort of the Society for Ambulatory Anesthesia (SAMBA) and the Ambulatory Surgical Care Committee of the American Society of Anesthesiologists (ASA) concerning the safe anesthetic care of adult malignant hyperthermia (MH)-susceptible patients in a free-standing ambulatory surgery center (ASC). Adult MH-susceptible patients can safely undergo a procedure in a free-standing ASC assuming that proper precautions for preventing, identifying, and managing MH are taken. The administration of preoperative prophylaxis with dantrolene is not indicated in MH-susceptible patients scheduled for elective surgery. There is no evidence to recommend an extended stay in the ASC, and the patient may be discharged when the usual discharge criteria for outpatient surgery are met. Survival from an MH crisis in an ASC setting requires early recognition, prompt treatment, and timely transfer to a center with critical care capabilities.
AB - This document represents a joint effort of the Society for Ambulatory Anesthesia (SAMBA) and the Ambulatory Surgical Care Committee of the American Society of Anesthesiologists (ASA) concerning the safe anesthetic care of adult malignant hyperthermia (MH)-susceptible patients in a free-standing ambulatory surgery center (ASC). Adult MH-susceptible patients can safely undergo a procedure in a free-standing ASC assuming that proper precautions for preventing, identifying, and managing MH are taken. The administration of preoperative prophylaxis with dantrolene is not indicated in MH-susceptible patients scheduled for elective surgery. There is no evidence to recommend an extended stay in the ASC, and the patient may be discharged when the usual discharge criteria for outpatient surgery are met. Survival from an MH crisis in an ASC setting requires early recognition, prompt treatment, and timely transfer to a center with critical care capabilities.
UR - http://www.scopus.com/inward/record.url?scp=85070024689&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070024689&partnerID=8YFLogxK
U2 - 10.1213/ANE.0000000000004257
DO - 10.1213/ANE.0000000000004257
M3 - Article
C2 - 31166228
SN - 0003-2999
VL - 129
SP - 347
EP - 349
JO - Anesthesia and analgesia
JF - Anesthesia and analgesia
IS - 2
ER -