Frequently, questions arise as to the necessity of dantrolene availability in the office-based practice or the ambulatory surgery center that does not use volatile agents. Succinylcholine is only maintained in the same facility for airway rescue. In order to answer these important questions, we must turn to available data. Recent additions to the literature have pointed to a greater understanding of malignant hyperthermia (MH) events. Succinylcholine was once thought to be an exceedingly rare trigger of MH events in the absence of inhaled volatile agents. A recent article searched a Canadian database for MH triggers and characteristics. The investigators found that succinylcholine was identified as a sole agent trigger in greater than 15 percent of the 129 patients in the database. Additionally, the investigators found that 13 percent of patients had uneventful prior anesthetics. The authors of the...

You do not currently have access to this content.