Malignant Hyperthermia Crisis Preparedness
Abstract
Phase II Site: Walter Reed National Military Medical Center/Kimbrough Ambulatory Care Center Project Title: Malignant Hyperthermia Crisis Preparedness Authors: LT Elizabeth Gallegos, RN, NC, USN; LT Bryan Hennen, RN, NC, USN Background or Problem/Issue: Malignant Hyperthermia (MH) is a rare but potentially fatal hypermetabolic reaction precipitated by exposure to commonly used anesthetic agents. Prompt recognition and appropriate can significantly reduce morbidity and mortality rates associated with MH. Clinical Question or Purpose: The purpose of this project was to improve Anesthesia and Operating Room staff's perception of the Stanford Emergency manual in the management of a patient with MH and include critical event checklists as part of their treatment plan. Project Design: The project was a pre- and post-implementation design. A pre-implementation survey measured preconceptions amongst multidisciplinary perioperative staff about the use of cognitive aids in the treatment of MH. An in-service on MH and the benefits of cognitive aid use was given, and an MH simulation exercise utilizing the Stanford Emergency Manual was conducted. A post implementation survey assessed participants for changes in their thoughts on cognitive aid use for future practice. A critical care transfer protocol based on an MH management checklist was presented to the anesthesia department. Analysis of the Results: The post-implementation survey showed improved perceptions of and willingness to use the Stanford Emergency Manual during an MH crisis. A new critical care transfer protocol was implemented within the anesthesia department which included a transfer checklist specific to MH management.
Document Details
- Document Type
- Technical Report
- Publication Date
- Dec 16, 2018
- Accession Number
- AD1127881
Entities
People
- Bryan Hennen
- Elizabeth Gallegos
Organizations
- Uniformed Services University of the Health Sciences