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Chapter 21 - Anesthesia for Neuromuscular and Collagen Vascular Diseases

Published online by Cambridge University Press:  24 May 2023

By
Erin Yen  and
Timothy Martin
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
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Summary

Neuromuscular and collagen vascular diseases comprise a wide array of disorders that bear a broad range of implications for anesthetic management throughout the perioperative period. Thorough preanesthetic evaluation is essential, with focus on the airway, pulmonary, and cardiovascular systems paramount, in addition to close attention to anticipated special positioning needs intraoperatively. Specific anesthetic medications may be contraindicated in some conditions, and a number of these patients may require perioperative glucocorticoid supplementation due to chronic steroid use. Some patients are susceptible to postoperative cardiopulmonary compromise and may require increased or extended postoperative monitoring.

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 338 - 353
Publisher: Cambridge University Press
Print publication year: 2023

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