Key messages

• Successful management of malignant hyperthermia depends on prompt diagnosis.

• Prompt diagnosis depends on awareness of malignant hyperthermia by the anesthetist and modern non-invasive monitoring, particularly capnography.

• The specific therapy, dantrolene, should be available in every theater location.

• Previous uneventful anesthetic does not preclude malignant hyperthermia.

• Malignant hyperthermia patients should not be denied essential surgery.

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