Obstetric anesthesia for a patient with malignant hyperthermia susceptibility
This is a follow-up on a case report previously published in Anesthesiology concerning a patient with a family history of hyperthermia. The same patient has subsequently had spinal anesthesia for vaginal delivery. Creatine phosphokinase (CPK) levels in her plasma rose from 1,605 IU before labor to 2,390 IU during spinal anesthesia, an alarming increase in a few hours' time. Most of the family members were investigated for creatine phosphokinase levels.