High Index of Suspicion of Malignant Hyperthermia: A Case Report

Lack of early detection due to either unawareness of the disease process or inadequate monitoring device, and lack of availability of dantrolene makes it difficult to manage malignant hyperthermia (MH). It has been reported that the risk of mortality rate increased by 50 % if skin temperature rather than core temperature was monitored. We hereby report the case of a 54 year old lady scheduled to undergo exploratory laparotomy for abdominopelvic mass who developed unexplained rise in end tidal carbon dioxide intraoperatively. Probably, this case appears to be one of the first to have been reported from Nepal of possible MH.