Malignant hyperthermia as breast augmentation complication
Posted Jul 22 2008 8:21pm
The news for the past few days has been filled with stories of thedeath of a young Floridian during breast augmentation surgery. Stephanie Kuleba reportedly underwent inverted nipple repair and correction of breast assymetry under general anesthesia. General anesthesia decidedly carries more risks than lesser levels of sedation/analgesia. It has been implied that malignant hyperthermia was the cause of death in this case.
From the Palm Beach Post:
"The surgery was performed by Dr. Steven Schuster, a board-certified plastic surgeon, in his Boca Raton medical office. "
"The condition is triggered by anesthesia. Symptoms include rapid heart rate, muscles that become rigid, and a fever of 110 degrees or higher. The condition is reversible if recognized and acted upon - usually within 30 minutes of onset - with Dantrolene, the only known antidote, said Dr. Henry Rosenberg, president of the Malignant Hyperthermia Association, whose organization fielded a call to its hot line about Kuleba's case. " Dantrolene should be on hand in facilities performing general anesthesia.