Malignant Hyperthermia

Patient (ASA I, male, 30 years, 95kg, 190 cm) is on the OR under general anesthesia for planed operation of meningeoma. After preoxygenation propofol 200mg and succinylcholine 100mg was administered IV, he is successfully intubated and relaxed by rocuronium 50mg, sufentanyl 25 µg, Sevorane, O2/Air. The surgeon has finished positioning of the patient and he is ready to drape. You are coming to relieve your older colleague. What do you do after arriving at the OR first?
30
years
190
cm
95
kg
man
RR
12 /min
HR
64 /min
SpO2
98 %
BP
126/84 (98) mmHg
EKG
rythm: sinus
Examination
Ventilation: VCV 400 ml, f=12/min, FiO2 40 %, PEEP 5cm H2O, EtCO2 34 mmHg = 4,5 kPa
Glycaemia
Gly
5,5  mmol/L
Arterial blood gas
pH
7,37
pCO2
39  torr
pO2
90  torr
Complete blood count
HGB
140  g/L
LEU
8  x109/L
PLT
178  x109/L
Biochemical analysis
Na
140  mmol/L
K
4,5  mmol/L
Cl
95  mmol/L
Glycaemia
Take a sample
Arterial blood gas
Take a sample
Complete blood count
Take a sample
Biochemical analysis
Take a sample