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The cause of death in the case of a Florida teen having breast surgery has been confirmed as malignant hyperthermia (MH),1 and the eyes of the nation have turned to outpatient surgery providers and their preparation to handle an MH episode.
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The report by the Palm Beach County Medical Examiner's Office regarding Florida teen Stephanie Kuleba, who died earlier this year of malignant hyperthermia (MH), doesn't answer all of the questions surrounding her death.
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When your patient develops malignant hyperthermia (MH), take these steps, providers suggest:
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At Ponte Vedra Plastic Surgery, cards were developed to explain the role of each of four nurses who handle malignant hyperthermia (MH) resuscitation.
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The Joint Commission says that "emergency medications and other interventions can help mitigate the impact of a [malignant hyperthermia (MH)] episode, but only if the needed materials are readily available and staff is adequately trained." Specifically, The Joint Commission requires:
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The Association of periOperative Registered Nurses (AORN) has updated its "Malignant Hyperthermia Guideline," which is published in the Perioperative Standards and Recommended Practices, 2008 Edition.
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Recovery audit contractors (RACs) have returned $693.6 million to Medicare.
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(Editor's note: This month's issue includes the second part of a two-part series on natural orifice surgery. In this month's issue, we explore patient selection, physician skills, and tools in development. Last month, we gave you an overview of the current status of the surgery.)
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The company Starbucks made a significant business decision a few months ago. Their board decided that they needed to focus on what they thought they did best: Operate as a specialty coffee store.
