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January 1, 2000Anesthesia & Analgesia

A Multicenter Study of 4-Chloro-m-cresol for Diagnosing Malignant Hyperthermia Susceptibility

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Key result

In vitro contracture testing with 4-chloro-m-cresol showed strong concordance with caffeine (r = 0.79) and improves the accuracy of diagnosing malignant hyperthermia susceptibility.

Why the study?

Does 4-chloro-m-cresol improve the diagnostic accuracy of the in vitro contracture test for malignant hyperthermia susceptibility compared to standard testing?

Population

Muscle specimens of 202 individuals from 6 European malignant hyperthermia centers

Comparison

In vitro contracture test with 4-chloro-m-cresol vs Standard IVCT (using caffeine and halothane)

Design

Other

Authors

CBC BaurGoethe University FrankfurtLBL. BellonOspedale Sant AntonioPFPeter FelleiterSwiss Paraplegic Center

Discussion

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Implication

4-CmC IVCT may sharpen MH diagnosis in equivocal cases; leaves open routine adoption pending prospective validation.

Study Design

Type

Observational (n=202)

Multicenter

Yes

Structured PICO

Does 4-chloro-m-cresol improve the diagnostic accuracy of the in vitro contracture test for malignant hyperthermia susceptibility compared to standard testing?

P
Population
202 individuals from 6 European centers undergoing muscle specimen testing for malignant hyperthermia susceptibility.
E
Exposure
In vitro contracture test (IVCT) with 4-chloro-m-cresol (4-CmC)
C
Comparator
Standard IVCT (using caffeine and halothane)
O
Outcome
Diagnostic accuracy and threshold concentration for malignant hyperthermia susceptibilitysurrogate

Main Result

Effect estimate: r = 0.79

4-chloro-m-cresol is a highly effective test substance that improves the accuracy of in vitro diagnosis of malignant hyperthermia susceptibility.

Cite This Study

Baur et al. (2000) conducted an observational in Malignant hyperthermia susceptibility (n=202). 4-chloro-m-cresol (4-CmC) in vitro contracture test vs. Standard in vitro contracture test (caffeine and halothane) was evaluated on Concordance of concentration thresholds between 4-CmC and caffeine (r = 0.79). In vitro contracture testing with 4-chloro-m-cresol showed strong concordance with caffeine (r = 0.79) and improves the accuracy of diagnosing malignant hyperthermia susceptibility.

synapsesocial.com/papers/6a5f30ef531077db68af3bb0https://doi.org/10.1097/00000539-200001000-00040
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Standardization of the Caffeine Halothane Muscle Contracture Test1989 · 242 citations
  2. 2Dantrolene in Human Malignant Hyperthermia A Multicenter Study1982 · 296 citations
  3. 3Malignant hyperthermia1992 · 361 citations
  4. 44‐chloro‐m‐cresol test ‐ a possible supplementary test for diagnosis of malignant hyperthermia susceptibility1997 · 24 citations
  5. 5The Sensitivity and Specificity of the Caffeine-Halothane Contracture Test1998 · 213 citations