围手术期患者恶性高热预防及护理的证据总结

doi:10.3761/j.issn.1672-9234.2023.07.017

Abstract

Abstract:

Objective To collect and summarize the best evidence summary for prevention and management of malignant hyperthermia in perioperative patients at home and abroad，and to provide guidance and evidence for clinical medical staffs. Methods Relevant literatures related to prevention and management of malignant hyperthermia in perioperative patients in domestic and foreign databases were retrieved，including guidelines，clinical decision-making，evidence summaries，expert consensus，recommended practice，and systematic reviews. The retrieval time was from the establishment of the database to August 1，2022. The researchers evaluated the literature quality according to the criteria and extracted relevant evidence. Results A total of 10 articles were included，including 5 guidelines，5 expert consensus. Twenty-one pieces of best evidence was summarized from five aspects：preoperative management，rescue treatment，symptomatic treatment，postoperative management，and personnel requirements. Conclusion This study summarizes the best evidence for prevention and management of malignant hyperthermia in perioperative patients. Clinical medical staffs can select the best evidence in combination with clinical practice to provide evidence-based evidence for improving the level and quality of prevention and management of malignant hyperthermia in perioperative patients.

Key words: Malignant Hyperthermia, Perioperative Nursing, Evidence summary

ZHANG Yayun, GUAN Lina, JIN Jie, ZHANG Enman. Best evidence summary for prevention and management of malignant hyperthermia in perioperative patients[J].Chinese Journal of Nursing Education, 2023, 20(7): 864-869.

Figures/Tables 3

References 28

[1]	Hopkins PM, Girard T, Dalay S, et al. Malignant hyperthermia 2020:guideline from the association of anaesthetists[J]. Anaesthesia, 2021, 76(5):655-664. doi: 10.1111/anae.15317 pmid: 33399225
[2]	中国防治恶性高热专家共识工作组. 中国防治恶性高热专家共识(2020版)[J]. 中华麻醉学杂志, 2021, 41(1):20-25.
	China Expert Consensus Working Group on the Prevention and Treatment of Malignant Hyperthermia. Expert consensus on prevention and treatment of malignant hyperthermia in China (2020 edition)[J]. Chin J Anesthesiol, 2021, 41(1):20-25.
[3]	Glahn KP, Ellis FR, Halsall PJ, et al. Recognizing and managing a malignant hyperthermia crisis:guidelines from the Euro-pean Malignant Hyperthermia Group[J]. Br J Anaesth, 2010, 105(4):417-420. doi: 10.1093/bja/aeq243 pmid: 20837722
[4]	Association of Surgical Technologists. Guidelines for best practices for treatment of surgical patients experiencing malignant hyperthermia in the operating room[EB/OL].[2022-06-22]. https://www.ast.org/uploadedFiles/Main_Site/Content/About_Us/Gui-deline_Malignant_Hyperthermia.pdf.
[5]	国家卫生健康委办公厅. 2019国家卫生健康委办公厅关于印发麻醉科医疗服务能力建设指南(试行)的通知[EB/OL].(2019-12-18)[2022-08-24]. http://www.gov.cn/xinwen/2019-12/18/content_5462015.htm.
[6]	Julien Marsollier F, Roux-Buisson N, Dalmas AF, et al. Management of malignant hyperthermia in France:current organisation[J]. Anaesth Crit Care Pain Med, 2019, 38(5):535. doi: 10.1016/j.accpm.2019.02.008
[7]	EMHG. About us[EB/OL].[2022-08-24]. https://www.emhg.org/about.
[8]	MHANZ. Healthcare professionals[EB/OL].[2022-08-24]. https://www.mhaus.org/healthcare-professionals/.
[9]	MHANZ. Malignant hyperthermia[EB/OL].[2022-08-24]. https://malignanthyperthermia.org.au/.
[10]	倪叶彬, 陈亚梅, 朱晓萍, 等. 糖尿病患者围手术期血糖管理的证据总结[J]. 中华护理杂志, 2021, 56(7):1079-1085. doi: 10.3761/j.issn.0254-1769.2021.07.021
	Ni YB, Chen YM, Zhu XP, et al. Evidence summary for management of perioperative blood glucose in patients with diabetes mellitus[J]. Chin J Nurs, 2021, 56(7):1079-1085. doi: 10.3761/j.issn.0254-1769.2021.07.021
[11]	周芬, 郝玉芳, 丛雪, 等. 指南研究与评价工具AGREE Ⅱ及各领域分值的补充解释及思考[J]. 护理学报, 2018, 25(18):56-58.
	Zhou F, Hao YF, Cong X, et al. Supplementary explanation and thinking of AGREE Ⅱ,a guide research and evaluation tool,and scores in various fields[J]. J Nurs China, 2018, 25(18):56-58.
[12]	AGREE. AGREE Ⅱ[EB/OL].[2022-06-22]. https://www.agree-trust.org/wp-content/uploads/2017/12/AGREE-II-Users-Manual-and-23-item-Instrument-2009-Update-2017.pdf.
[13]	The Joanna Briggs InstituteJBI. Critical appraisal tools[EB/OL].[2022-06-22]. https://jbi.global/critical-appraisal-tools.
[14]	王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967.
	Wang CQ, Hu Y. JBI evidence pre-classification and evidence rank system(2014 Edition)[J]. J Nurses Train, 2015, 30(11):964-967.
[15]	Glahn KPE, Bendixen D, Girard T, et al. Availability of dan-trolene for the management of malignant hyperthermia crises:European Malignant Hyperthermia Group guidelines[J]. Br J Anaesth, 2020, 125(2):133-140. doi: 10.1016/j.bja.2020.04.089
[16]	Rüffert H, Bastian B, Bendixen D, et al. Consensus guidelines on perioperative management of malignant hyperthermia suspected or susceptible patients from the European Malignant Hyperthermia Group[J]. Br J Anaesth, 2021, 126(1):120-130. doi: 10.1016/j.bja.2020.09.029 pmid: 33131754
[17]	Urman RD, Rajan N, Belani K, et al. Malignant hyperthermia susceptible adult patient and ambulatory surgery center:Society for Ambulatory Anesthesia and Ambulatory Surgical Care Committee of the American society of anesthesiologists position statement[J]. Anesth Analg, 2019, 129(2):347-349. doi: 10.1213/ANE.0000000000004257
[18]	Safety Committee of Japanese Society of Anesthesiologists. JSA guideline for the management of malignant hyperthermia crisis 2016[J]. J Anesth, 2017, 31(2):307-317. doi: 10.1007/s00540-016-2305-z pmid: 28246924
[19]	MHANZ. Malignant Hyperthermia Resource Kit[EB/OL].[2022-06-22]. https://malignanthyperthermia.org.au/resource-kit/.
[20]	EMHG. Preparation of Anaesthetic Workstations for MH suspected or susceptible patients[EB/OL].(2018-02-27)[2022-06-22]. https://www.emhg.org/recommendations-1/2018/2/27/pre-paration-of-anaesthetic-workstations-for-mh-suspected-or-susceptible-patients.
[21]	Litman RS, Smith VI, Larach MG, et al. Consensus statement of the malignant hyperthermia association of the United States on unresolved clinical questions concerning the management of patients with malignant hyperthermia[J]. Anesth Analg, 2019, 128(4):652-659. doi: 10.1213/ANE.0000000000004039 pmid: 30768455
[22]	Hopkins PM, Rüffert H, Snoeck MM, et al. European Malignant Hyperthermia Group guidelines for investigation of malignant hyperthermia susceptibility[J]. Br J Anaesth, 2015, 115(4):531-539. doi: 10.1093/bja/aev225 pmid: 26188342
[23]	Susan S, Ther G, Ther M. Hyperthermia:management[EB/OL].(2021-08-04)[2022-07-01]. https://ovidsp.dc2.ovid.com/ovid-a/ovidweb.cgi?&S=CHKLFPCCFCEBBEMCJPNJAHJEBICPAA00& Link+Set=S.sh.48%7c4%7csl_190.
[24]	Nathan N. Perioperative cardiac arrest:focus on malignant hyperthermia(MH)[J]. Anesth Analg, 2018, 126(3):737. doi: 10.1213/ANE.0000000000002831
[25]	Glahn KP, Ellis FR, Halsall PJ, et al. Recognizing and managing a malignant hyperthermia crisis:guidelines from the Eu-ropean Malignant Hyperthermia Group[J]. Br J Anaesth, 2010, 105(4):417-420. doi: 10.1093/bja/aeq243 pmid: 20837722
[26]	Rodrigues G, de Andrade PV, dos Santos JM, et al. Impact of a digital manual for guidance on malignant hyperthermia:patient education[J]. Orphanet J Rare Dis, 2022, 17(1):265. doi: 10.1186/s13023-022-02435-1 pmid: 35841058
[27]	Schädler D, Heinrichs W, Mönk S, et al. Simulation training for German anesthesiologists:case scenarios and training re-sults[J]. Anasthesiol Intensivmed Notfallmed Schmerzther, 2008, 43(6):474-477. doi: 10.1055/s-2008-1081395
[28]	Tsioutis C, Birgand G, Bathoorn E, et al. Education and training programmes for infection prevention and control professionals:mapping the current opportunities and local needs in European countries[J]. Antimicrob Resist Infect Control, 2020, 9(1):183. doi: 10.1186/s13756-020-00835-1

Best evidence summary for prevention and management of malignant hyperthermia in perioperative patients

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 28

Related Articles 15

Metrics

Comments

Recommended 10

[1]	ZHENG Ying, YU Ranhui, QIU Fei, LU Tongyao, SUN Danhua, WU Xiaohua, XU Hongzhen. Application of role-playing card game program in perioperative period of tonsillectomy children [J]. Chinese Journal of Nursing Education, 2024, 21(9): 1106-1112.
[2]	ZHANG Fangyuan, JIAO Jie, LIU Lifeng. Evidence summary of preoperative rehabilitation in lung cancer patients [J]. Chinese Journal of Nursing Education, 2024, 21(7): 881-886.
[3]	ZHU Songying, TAN Ran, GAO Wei. The best evidence summary on management of primary malposition in adult patients with peripherally inserted central catheter/arm port [J]. Chinese Journal of Nursing Education, 2024, 21(5): 613-619.
[4]	ZHANG Jie, LI Xiuchuan, LIU Chunfang, TANG Qi, JIANG Jie, HUO Rui, JI Hongmin. Evidence summary for prevention and nursing of mucocutaneous separation in patients with enterostomy [J]. Chinese Journal of Nursing Education, 2024, 21(4): 486-491.
[5]	JIN Ziheng, SONG Jie, ZHANG Shuxiang, JIANG Shumin, YU Wanhui, LI Ruzhao, LIU Yue. Evidence summary for cardiopulmonary resuscitation in the prone position with invasive mechanical ventilation [J]. Chinese Journal of Nursing Education, 2024, 21(3): 358-364.
[6]	DING Lina, YAO Zhuoya, GENG Junhui, ZHAN Meng, LI Manchun, WANG Junfeng. Summary of the best evidence for cleaning quality management of phacoemulsification handles in ophthalmology [J]. Chinese Journal of Nursing Education, 2024, 21(1): 110-118.
[7]	XING Yayun,GUAN Ningxiao,KONG Han,WANG Yunxia,LIANG Hongxia,ZHANG Yuelan. Summary of the best evidence of unilateral spatial neglect screening and early rehabilitation nursing in stroke patients [J]. Chinese Journal of Nursing Education, 2023, 20(6): 734-739.
[8]	CHENG Ting, TU Hui, GUO Ting, LI Xin, XU Wenjun, PENG Ying, ZHANG Na. Summary of the best evidence for medication management in elderly patients with polypharmacy [J]. Chinese Journal of Nursing Education, 2023, 20(2): 217-222.
[9]	TIAN Ganlu, HE Wenying, CHEN Zeyang. Best evidence summary of exercise intervention in patients with liver cirrhosis and sarcopenia [J]. Chinese Journal of Nursing Education, 2023, 20(12): 1493-1499.
[10]	XIA Xuan, GONG Xiangyi, LIAN Dongmei, LI Yang. Evidence summary of exercise programs for children with juvenile idiopathic arthritis [J]. Chinese Journal of Nursing Education, 2023, 20(12): 1500-1506.
[11]	LI Yue, HOU Chaoming, GAO Jing, BAI Dingxi, CAI Mingjin, XIE Xuemei. Summary of the best evidence for the management of insomnia in patients with Parkinsonism [J]. Chinese Journal of Nursing Education, 2023, 20(10): 1223-1228.
[12]	ZENG Zhaolan, SHI Zeyao, LI Xiaowen. Application and research progress of kangaroo mother care after neonatal surgery [J]. Chinese Journal of Nursing Education, 2023, 20(10): 1261-1265.
[13]	MENG Shujing,ZHANG Qiang,CHENG Shuai,GENG Xiaoting,HU Zelin,WU Meixuan,QIN Dianju. Evidence summary of exercise training for adult patients with obstructive sleep apnea [J]. Chinese Journal of Nursing Education, 2023, 20(1): 87-92.
[14]	CAI Mingjin,GAO Jing,BAI Dingxi,CHEN Huan,ZHU Lin,WANG Wei,LU Xianying. Evidence summary for prevention and nursing of enterostomy necrosis [J]. Chinese Journal of Nursing Education, 2023, 20(1): 93-97.
[15]	GENG Yi-dan,TIAN Jian-li,HU Jia-qi,ZHANG Xi,WANG Nai. Evidence summary of exercise therapy in patients with diabetic foot [J]. Chinese Journal of Nursing Education, 2022, 19(7): 640-645.