Hypercarbia* | Controlled ventilation: |
ETCO2 >55 mmHg |
PaCO2 >60 mmHg |
Spontaneous ventilation: |
ETCO2 >60 mmHg |
PaCO2 >65 mmHg |
Muscle rigidity | Generalized muscular rigidity (sustained contracture) during anesthesia with triggering agents |
Severe masseter muscle spasm shortly following succinylcholine administration that does not abate within 1 minute |
Arrhythmias | Tachycardia |
Ventricular arrhythmias (indicating acute hyperkalemia) |
Acidosis | Primarily respiratory acidosis but may include varying degrees of metabolic acidosis |
Arterial pH <7.25 |
Base deficit >8 mEq/L |
Hyperthermia | Core temperature >38.8°C |
Rapid rise in temperature |
Rhabdomyolysis | CK >20,000 international units after anesthesia with succinylcholine |
CK >10,000 international units after anesthesia without succinylcholine |
Cola-colored urine in perioperative period |
Urine myoglobin >60 mcg/L |
Serum myoglobin >170 mcg/L |
Serum potassium >6 meq/L (without renal failure) |