Episode 260: Malignant Hyperthermia with Dr. Berman

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Jed Wolpaw

Health & Fitness

4.7 • 1.5K Ratings

🗓️ 30 July 2023

⏱️ 51 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this 260th episode I welcome Dr. Dave Berman back to the show to discuss malignant hyperthermia. Dr. Berman is a volunteer with the MH hotline and he discussed the history, epidemiology, genetics, testing, prevention and management of MH and then we discuss some cases.

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Transcript

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0:00.0	Hello and welcome back to AckRack. I'm Jed Wolfaw and I am really excited to have with
0:18.5	me today a prior guest who has done fabulous work for us and in general has just been
0:23.8	doing really great work here at Hopkins as one of my assistant program directors, a fabulous
0:28.4	award-winning teacher and as it turns out he is also a member of the MH hotline. He works for the
0:35.3	MH hotline which as he'll tell you earn some zero dollars and zero cents so we're not going to
0:39.2	list that as a conflict and that is of course the great Dr. Dave Berman. So he's here today to
0:44.5	talk about Malignant Hyperthermia. Dave, welcome to the show. Thank you very much for having me. I'm
0:48.7	going to try to avoid the rigid structure of normal AckRack podcast. All right I see what you
0:55.1	did there. Well done. Well done. All right let's not be triggering if we can avoid it. I'm going to
1:01.2	try not to dantra lean on dad jokes this whole time. Fair enough it wouldn't be you if you didn't do
1:06.8	some. All right let's start off. Tell us a little bit of the history of Malignant Hyperthermia and
1:13.7	maybe also how you got involved in the interest in this and in the Malignant Hyperthermia hotline.
1:19.2	Sure so it's an interesting case this was was published in 1962 by this guy named Michael
1:25.9	Dembro who was an internal and internal medicine doc and a geneticist and he overheard of a case
1:34.0	of a patient who had a tibbib fracture and was brought into the emergency department for obviously
1:39.6	surgery for this tibbib fracture and the patient wasn't nervous about his surgery but what he was
1:45.2	really nervous about was the anesthesia because he'd had 10 family members who died during or
1:51.3	shortly after anesthesia and usually for minor procedures that were unlikely to cause death so it
1:57.4	wasn't like they had a ruptured triple A they had really uncomplicated cases and then they died
2:04.4	so their anesthesiologists at the time for this 21-year-old decided to do the case with the most
2:09.0	advanced anesthetic that he had available in 1962 was halithane so he did a halithane anesthetic
2:16.0	and about 10 minutes into the anesthetic the patient became hypotensive, tachycardic,
	...

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