All physicians performing surgery while the patient is under general anesthesia must be aware of the existence of idiopathic malignant hyperthermia. A young adult had a malignant hyperthermic reaction despite four prior uneventful administrations of general anesthetics. To my knowledge, this is the first report of a patient who survived following a hyperthermic reaction, having sustained considerable residual brain damage.
There is a great need for continuous body-temperature monitoring during general anesthesia.
Bergman JA. Idiopathic Malignant HyperthermiaReview and Report of a Case. Arch Ophthalmol. 1975;93(3):232-234. doi:10.1001/archopht.1975.01010020240014