What treatment option is NOT typically utilized for managing malignant hyperthermia?

The treatment option that is not typically utilized for managing malignant hyperthermia is massaging the muscles. Malignant hyperthermia is a severe reaction to certain anesthetic agents, leading to a hypermetabolic state characterized by a rapid increase in body temperature and muscle rigidity. Effective treatment focuses on rapidly cooling the patient and addressing the metabolic derangements.

IV cold saline is an essential measure to help lower body temperature quickly and hydrate the patient, while ice packs applied to specific areas such as the groin, axilla, and neck help in further cooling the body. Both of these methods are critical in the management of this condition.

Cricothyrotomy, although not a primary intervention for malignant hyperthermia itself, may be necessary in severe airway management scenarios but does not play a role in the direct treatment of the hyperthermic crisis. In contrast, massaging the muscles is not only ineffective but could potentially worsen the muscle breakdown and exacerbate the metabolic issues associated with malignant hyperthermia. Hence, it is not a standard treatment approach in these emergencies.