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The 2009 version states that the time-out should be done before the start of anesthesia; the 2010 version reverts to stating that the time-out should be done before the incision. Our team is constantly on guard for changes in respiratory and cardiovascular activity, or unexpected events which, although rare, may occur during surgery. Malignant Hyperthermia (MH): Every now and then a patient would develop high body temperature, increased heart rate, muscle rigidity and die during anesthesia.

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