Malignant hyperthermia as a rare complication of local lidocaine injection: A case report

doi:10.5313/wja.v12.i1.1

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Jul 28, 2023 (publication date) through Apr 28, 2024

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World Journal of Anesthesiology

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2218-6182

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Anesthesiol. Jul 28, 2023; 12(1): 1-7
Published online Jul 28, 2023. doi: 10.5313/wja.v12.i1.1

Table 1 Laboratory studies indicating acute renal injury and elevated creatine phosphokinase and myoglobin

Parameter	Result (normal range)
Chemistry
Urine toxicology	Negative
High-sensitive troponin	6.6 (3.0-58.9) ng/mL
Myoglobin	197 (25-72) ng/mL
Creatine phosphokinase	499 (10-120) µg/L
Calcium	7.5 (8.6-10.3) mg/dL
Sodium	144 (136-145) mEq/L
Potassium	3.7 (3.5-5.2) mEq/L
Chloride	114 (96-106) mmol/L
CO₂	21 (23-29) mEq/L
Blood urea nitrogen	15 (7-20) mg/dL
GFR	> 60 (> 60) mL/min/1.73 m²
Creatine	1.63 (0.7-1.3) mg/dL
Basic coagulation
INR	1.17 (0.88-1.13)
PTT	32.7 (27.0-37.0) s
Prothrombin time	13.7 (10.2–13.3)
Venous blood gas
pH venous	7.37 (7.31-7.41)
PCO₂ venous	36 (41-51) mmHg¹
HCO₃ venous	20.8 (21-28) mmol/L
PO₂ venous	78 (30-40) mmHg

¹Arterial conversion 41 mmHg.

GFR: Glomerular filtration rate; INR: International normalized ratio; PTT: Partial thromboplastin time.

Citation: Obi MF, Ubhi M, Namireddy V, Noel C, Sharma M, Campos FN, Garg Y. Malignant hyperthermia as a rare complication of local lidocaine injection: A case report. World J Anesthesiol 2023; 12(1): 1-7
URL: https://www.wjgnet.com/2218-6182/full/v12/i1/1.htm
DOI: https://dx.doi.org/10.5313/wja.v12.i1.1