Research Article
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Assessment of anesthesia residents' awareness and knowledge levels regarding malignant hyperthermia in relation to their residency

Year 2026, Volume: 7 Issue: 2, 330 - 335, 27.03.2026
https://izlik.org/JA29ZT98GE

Abstract

Aims: Malignant hyperthermia (MH) is an uncommon but life-threatening anesthetic emergency that necessitates prompt diagnosis and swift care. It is imperative for patient safety that anesthesia assistants, identify both the early and late manifestations of MH. This study sought to assess the knowledge and awareness of anesthesiology assistants concerning MH.
Methods: This cross-sectional study encompassed 215 anesthesia residents. The knowledge level of MH was evaluated by a total knowledge score derived from replies to questions 6–24 of the questionnaire. The knowledge level was categorized as low, moderate, and high.
Results: The participants' average knowledge score was 12.50±3.19, with 19.1% exhibiting low knowledge, 53.0% demonstrating medium knowledge, and 27.9% possessing high knowledge. Knowledge scores shown a substantial increase with the prolongation of residence length (Kruskal–Wallis H=26.34, p<0.001). A notable positive association exists between residency duration and knowledge score (Spearman ρ=0.32, p<0.001). In linear regression analysis, while the time of residency significantly predicted the knowledge score, the explained variance was constrained (R²=0.114). No substantial correlation was identified between the degree of knowledge and the habitual implementation of temperature monitoring (p>0.05).
Conclusion: Improving patient safety in MH management will depend on systematic, continuous, and institutionally supported training programs rather than isolated knowledge acquisition. Therefore, recommendations about structured or simulationbased training should be seen as guides for future research rather than definitive conclusions.

References

  • Denborough MA, Lovell RRH. Anaesthetic deaths in a family. Lancet. 1960;276(7140):45-46.
  • Glahn KPE, Bendixen D, Girard T, et al. Availability of dantrolene for the management of malignant hyperthermia crises: European Malignant Hyperthermia Group guidelines. Br J Anaesth. 2020;125(2):133-140. doi: 10.1016/j.bja.2020.04.089
  • Rosenberg H, Pollock N, Schiemann A, et al. Malignant hyperthermia: a review. Orphanet J Rare Dis. 2015;10:93. doi:10.1186/s13023-015-0310-1
  • Glahn KPE, Girard T, Hellblom A, et al. Recognition and management of a malignant hyperthermia crisis: updated 2024 guideline from the European Malignant Hyperthermia Group. Br J Anaesth. 2025;134(1): 221-223, doi:10.1016/j.bja.2024.09.022
  • Schneiderbanger D, Johannsen S, Roewer N, et al. Management of malignant hyperthermia: diagnosis and treatment. Ther Clin Risk Manag. 2014;10:355-362. doi:10.2147/tcrm.S47632
  • Group EMH. European Malignant Hyperthermia Group. 2015. Available from: http://www.emhg.org [Last Accessed; 10 July 2015].
  • Wolvetang T, Hofland J, Takkenberg H. Knowledge on malignant hyperthermia: as rare as the disease? A nation wide survey. BMC Anesthesiol. 2014;14(1):A18. doi:10.1186/1471-2253-14-S1-A18
  • Monzani R, Alampi D, Bignami E, et al. National insights on malignant hyperthermia: a SIAARTI survey on clinical practices, preparedness, and future directions. J Anesth Analg Crit Care. 2025;5(1):85. doi:10.1186/s44158-025-00293-4
  • Wang J, Yu Y, Gao Y, et al. The anesthesiologists' perception of malignant hyperthermia and availability of dantrolene in China: a cross-sectional survey. Risk Manag Healthc Policy. 2024;17:763-773. doi:10.2147/rmhp.S454895
  • Tan L, Yu H, Yan J, et al. The knowledge profile, competence and pending problems of Chinese anesthesiologists in dealing with malignant hyperthermia: a cross-sectional survey. J Multidiscip Healthc. 2023;16: 133-142. doi:10.2147/jmdh.S387025
  • Larach MG, Brandom BW, Allen GC, et al. Malignant hyperthermia deaths related to inadequate temperature monitoring, 2007-2012: a report from the North American malignant hyperthermia registry of the malignant hyperthermia association of the United States. Anesth Analg. 2014;119(6):1359-1366. doi:10.1213/ane.0000000000000421
  • Hopkins PM. Malignant hyperthermia: advances in clinical management and diagnosis. Br J Anaesth. 2000;85(1):118-128. doi:10.1093/bja/85.1.118
  • Glahn KPE, Girard T, Hellblom A, et al. Recognition and management of a malignant hyperthermia crisis: updated 2024 guideline from the European Malignant Hyperthermia Group. Br J Anaesth. 2025;134(1): 221-223. doi:10.1016/j.bja.2024.09.022
There are 13 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Research Article
Authors

Ömer Doymuş 0000-0002-4377-4490

Pelin Aydın 0000-0001-7279-7758

Submission Date January 15, 2026
Acceptance Date March 12, 2026
Publication Date March 27, 2026
IZ https://izlik.org/JA29ZT98GE
Published in Issue Year 2026 Volume: 7 Issue: 2

Cite

AMA 1.Doymuş Ö, Aydın P. Assessment of anesthesia residents’ awareness and knowledge levels regarding malignant hyperthermia in relation to their residency. J Med Palliat Care / JOMPAC / jompac. 2026;7(2):330-335. https://izlik.org/JA29ZT98GE

TR DİZİN ULAKBİM and International Indexes (1d)

Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]



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