Anesthetic consideration for neuromuscular diseases.
Curr Opin Anaesthesiol
; 30(3): 435-440, 2017 Jun.
Article
en En
| MEDLINE
| ID: mdl-28448298
ABSTRACT
PURPOSE OF REVIEW The aim of this review is to examine data relating to perioperative management of the patient with neuromuscular disorders RECENT FINDINGS:
Patients with pre-existing neuromuscular disorders are at risk for a number of postoperative complications that are related to anesthetic drugs that are administered intraoperatively. Careful preoperative assessment is necessary to reduce morbidity and mortality. In particular, the risk of postoperative respiratory failure and need for long-term ventilation should be reviewed with patients. The use of succinylcholine should be avoided in muscular dystrophies, motor neuron diseases, and intrinsic muscle disease due to a risk of malignant hyperthermia, hyperkalemia, rhabdomyolysis, and cardiac arrest. The use of quantitative neuromuscular monitoring should be strongly considered whenever nondepolarizing neuromuscular blocking agents are administered. A number of case series and reports have been recently published demonstrating that sugammadex can be safely used in patients with neuromuscular disease; the risk of residual neuromuscular is nearly eliminated when this agent is administered intraoperatively.SUMMARY:
Careful assessment and management of patients with underlying neuromuscular diseases is required to reduce postoperative complications. This article reviews the anesthetic implications of patients undergoing surgery with neuromuscular disorder.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
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Procedimientos Quirúrgicos Operativos
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Atención Perioperativa
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Anestesia
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Anestésicos
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Bloqueantes Neuromusculares
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Enfermedades Neuromusculares
Tipo de estudio:
Etiology_studies
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Prevalence_studies
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Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Curr Opin Anaesthesiol
Asunto de la revista:
ANESTESIOLOGIA
Año:
2017
Tipo del documento:
Article
País de afiliación:
Estados Unidos