Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-6bf8c574d5-vmclg Total loading time: 0 Render date: 2025-02-24T12:56:31.879Z Has data issue: false hasContentIssue false

Chapter 42 - Special Problems or Issues in Anesthesiology

Published online by Cambridge University Press:  21 February 2025

By
Evan Shawler ,
Regine Goh ,
Megan Meyer ,
Martha Schuessler  and
Sanjana Vig
Edited by
Dharti Patel ,
Sang J. Kim ,
Himani V. Bhatt  and
Alopi M. Patel
Dharti Patel
Affiliation:
Mount Sinai West and Morningside Hospitals, New York
Sang J. Kim
Affiliation:
Hospital for Special Surgery, New York
Himani V. Bhatt
Affiliation:
Mount Sinai West and Morningside Hospitals, New York
Alopi M. Patel
Affiliation:
Rutgers Robert Wood Johnson Medical School, New Jersey
Get access

Summary

Disorders of the neuromuscular system have significant consequences for the anesthetic provider. A thorough knowledge of inheritance patterns, diagnosis, symptomatology, treatment, and pathophysiology is paramount in providing safe anesthetic care. Here we provide a review of the commonly encountered neuromuscular disorders and highlight the most salient features of each. The broad range of demyelinating diseases, myotonias, channelopathies, myasthenic syndromes, and mitochondrial diseases that affect the neuromuscular system will be presented.

Keywords

AnesthesiaMultiple SclerosisAmyotrophic Lateral SclerosisDuchenne’s Muscular DystrophyGuillain–Barré SyndromeMyastenia GravisLambert–Eaton SyndromeHyperkalemic Periodic Paralysis
Type
Chapter
Information
BASIC Essentials
A Comprehensive Review for the Anesthesiology BASIC Exam
 , pp. 231 - 236
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed., text revision (DSM-5-TR). American Psychiatric Association Publishing, 2022. (Accessed 20 November 2022).Google Scholar
Berge, KH, Seppala, MD, Schipper, AM. Chemical dependency and the physician. Mayo Clin Proc 2009;84(7)625–631.CrossRefGoogle ScholarPubMed
Bryson, EO, Silverstein, JH. Addiction and substance abuse in anesthesiology. Anesthesiology 2008;109(5):905–917.CrossRefGoogle Scholar
Tetzlaff, J. SUD curriculum. American Society of Anesthesiologists, November 12, 2015, Available at: www.asahq.org/standards-and-guidelines/~/media/857bafdbf3f84486b280132363342d5e.ashx. (Accessed 13 November 2022).Google Scholar
Oreskovich, MR, Caldeiro, RM. Anesthesiologists recovering from chemical dependency: can they safely return to the operating room? Mayo Clin Proc 2009;84(7):576–580.CrossRefGoogle ScholarPubMed
American Society of Anesthesiologists. ASA statement on fatigue. 2021. Available at: www.asahq.org/standards-and-guidelines/statement-on-fatigue. (Accessed 20 November 2022).Google Scholar
Wong, LR, Flynn-Evans, E, Ruskin, KJ. Fatigue risk management: the impact of anesthesiology residents’ work schedules on job performance and a review of potential countermeasures. Anesth Analg 2018;126(4):1340–1348.CrossRefGoogle Scholar
American Society of Anesthesiologists. The aging anesthesiologist. 2018. Available at: www.asahq.org/standards-and-guidelines/statement-on-the-aging-anesthesiologist. (Accessed 20 September 2022).Google Scholar
Patchen, Dellinger, EP, Pellegrini, C, Gallagher, TH. The aging physician and the medical proession: a review. JAMA Surgery 2017;152(10)967–971.Google Scholar
American Society of Anesthesiologists. Guidelines for the Ethical Practice of Anesthesiology. 2020. Available at: www.asahq.org/standards-and-guidelines/guidelines-for-the-ethical-practice-of-anesthesiology. (Accessed 20 September 2022)Google Scholar
American Board of Anesthesiology. Policy Book 2022. ABA, 2022. Available at: https://theaba.org/pdfs/Policy_Book.pdf. (Accessed 20 October 2022).Google Scholar
American Society of Anesthesiologists. ASA Statement on Suspension of DNR. 2021. Available at: www.asahq.org/standards-and-guidelines/ethical-guidelines-for-the-anesthesia-care-of-patients-with-do-not-resuscitate-orders-or-other-directives-that-limit-treatment. (Accessed 20 November 2022).Google Scholar
H.R.3200 – America’s Affordable Health Choices Act of 2009: 111th Congress (2009–2010). Available at: www.congress.gov/bill/111th-congress/house-bill/3200. (Accessed 12 November 2022).Google Scholar
National POLST. POLST basics. Available at: https://polst.org/about/ (Accessed 12 November 2022)Google Scholar
Morrison, LJ, Kierzek, G, Diekema, DS, et al. Part 3: Ethics: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010 Nov 2;122(18 Suppl 3):S665–S675.CrossRefGoogle ScholarPubMed
U.S. Department of Health and Human Services. Health Insurance Portability and Accountability Act of 1996. 1996. Available at: https://aspe.hhs.gov/report/health-insurance-portability-and-accountability-act-1996. (Accessed 13 November 2022).Google Scholar
Waisel, D, Truog, RD. Informed consent. Anesthesiology 1997;87:968–978.CrossRefGoogle ScholarPubMed
O’Leary, C. Informed consent: principles and practice. ASA Monitor 2010;74: 20–45.Google Scholar
American Society of Anesthesiologists. Revised “Manual on Professional Liability” now available online! ASA Newsletter 2010;74(8):65.Google Scholar
Ferner, RE, Aronson, JK. Clarification of terminology in medication errors. Drug Safety 2006;29(11):1011–1022.CrossRefGoogle ScholarPubMed
The Joint Commission. Sentinel event. 2016. Available at: www.jointcommission.org/resources/sentinel-event/. (Accessed 18 November 2022).Google Scholar
Eno, C, Correa, R, Stewart, NH, et al. Milestones Guidebook for Residents and Fellows, 2nd ed. Accreditation Council for Graduate Medical Education (ACGME). 2020. Available at: www.acgme.org/globalassets/pdfs/milestones/milestonesguidebookforresidentsfellows.pdf. (Accessed 18 November 2022).Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×