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A 12-year-old boy presents to the operating room for an inguinal hernia repair. This patient has a questionable family history of hyperthermia. Which of the anesthetic agents is most likely to trigger malignant hyperthermia?

A. Desfl urane
B. Halothane
C. Sevofl urane
D. Isofl urane
E. Enflurane

1 Answer

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Final answer:

In a patient with a history of hyperthermia, halothane is the anesthetic agent most likely to trigger malignant hyperthermia.

Step-by-step explanation:

The anesthetic agent most likely to trigger malignant hyperthermia in a patient with a questionable history of hyperthermia is halothane. Malignant hyperthermia is a severe reaction to certain drugs used for anesthesia, and halothane is known to be one of the triggers for this condition. Other fluorine-containing compounds such as enflurane and isoflurane have been mentioned in the context of operating room safety but are not specifically indicated as triggers for malignant hyperthermia.

Desflurane, sevoflurane, and isoflurane are currently the most widely used volatile anesthetics and are known for being less flammable and having fewer undesirable side effects compared to older agents such as halothane. Nonetheless, if a patient has a family history or previous signs of hyperthermia, these drugs may be avoided, and safer alternatives, or non-triggering intravenous anesthetics, might be chosen for the procedure.

User Soichi Hayashi
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