MedBugs: SAQ #41

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Case: Hot after intubation

Approximately 45 minutes ago you intubated a 25-year-old male with suxamethonium and propofol in your ED. His nurse has become concerned and asks you to review him. You note that his ETCO2 has jumped to 65, his temp has risen from 37 to 39.5°C. He is hypertensive and tachycardic.

1. What is the most likely diagnosis? 1 mark

2. List (2) triggers of this condition. 2 marks

3. Outline (6) management priorities in this patient 6 marks

4. List (3) important complications. 3 marks

5. What is the pathophysiology of this condition? 1 mark

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Case: Hot after intubation

1. What is the most likely diagnosis? 1 mark

2. List (2) triggers of this condition. 2 marks

3. Outline (6) management priorities in this patient 6 marks

4. List (3) important complications. 3 marks

5. What is the pathophysiology of this condition? 1 mark

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