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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Physical findings and laboratory values for pediatric malignant hyperthermia

Physical findings and laboratory values for pediatric malignant hyperthermia
Characteristic, N Youngest
(n = 35)
Middle
(n = 163)
Oldest
(n = 66)
 
Physical exam findings n % n % n % P
Elevated temperature 21 60.0 71 43.6 36 54.5 0.1
Rapidly increasing temperature 13 37.1 51 31.3 44 66.7 <0.001
Sweating 0 0.0 11 6.7 17 25.8 <0.001
Masseter spasm 5 14.3 74 45.4 7 10.6 <0.001
Generalized muscular rigidity 6 17.1 53 32.5 25 37.9 0.96
Dark urine 2 5.7 24 14.7 6 9.1 0.26
Tachypnea 12 34.3 43 26.4 21 31.8 0.52
Hypercarbia 27 77.1 95 58.3 59 89.4 <0.001
Cyanosis 2 5.7 16 9.8 7 10.6 0.75
Skin mottling 5 14.3 8 4.9 7 10.6 0.07
Sinus tachycardia 26 74.3 110 67.5 57 86.4 0.01
Ventricular tachycardia 2 5.7 9 5.5 3 4.5 1
Ventricular fibrillation 0 0.0 5 3.1 4 6.1 0.27
Vital sign and laboratory data Mean SD Mean SD Mean SD P
Maximum temperature (°C) 38.4 (1.4) 38.2 (1.7) 40.2 (8.3) 0.0006
Time to maximum temperature (minutes) 181.7 (282.3) 137.1 (191.3) 146.9 (183.0) 0.07
Maximum end-tidal CO2 (mmHg) 75.9 (23.0) 62.8 (23.9) 75.2 (16.8) 0.0001
Time to maximum etCO2 (minutes) 640.8 (205.6) 682.1 (228.9) 861.7 (329.7) 0.0001
Time to first blood gas (minutes) 183.6 (253.5) 151.2 (219.3) 176.2 (212.3) 0.18
Fio2 0.75 (0.35) 0.78 (0.32) 0.82 (0.28) 0.51
pH 7.16 (0.19) 7.23 (0.14) 7.2 (0.13) 0.06
Pco2 (mmHg) 65.3 (39.4) 53.2 (24.1) 61.6 (18.9) 0.0008
Po2 (mmHg) 157.6 (142.4) 236.5 (176.1) 275.5 (162.2) 0.002
Base excess (mEq/L) -6.6 (5.4) -5.6 (6.2) -4.9 (5.7) 0.19
Bicarbonate (mEq/L) 21.69 (4.58) 21.34 (4.91) 22.75 (3.98) 0.052
Peak lactic acid (mmol/L) 5.2 (5.8) 1.7 (3.4) 3.8 (2.3) 0.003
Peak potassium (mEq/L) 5.07 (1.30) 5 (1.68) 5.44 (1.24) 0.004
Peak creatinine kinase (units/L) 17,843.5 (58,940.6) 32,895.8 (70,279.5) 20,527.8 (61,000.7) 0.0001
etCO2: end-tidal carbon dioxide.
From: Nelson P, Litman RS. Malignant Hyperthermia in Children: An Analysis of the North American Malignant Hyperthermia Registry. Anesth Analg 2014; 118:369. DOI: 10.1213/ANE.0b013e3182a8fad0. Reproduced with permission from Lippincott Williams & Wilkins. Copyright © 2014 International Anesthesia Research Society. Unauthorized reproduction of this material is prohibited.
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