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Perisurgical management of patients with neuromuscular disorders.

Authors
  • Bertorini, Tulio E
Type
Published Article
Journal
Neurologic Clinics
Publisher
Elsevier
Publication Date
May 01, 2004
Volume
22
Issue
2
Pages
293–313
Identifiers
PMID: 15062513
Source
Medline
License
Unknown

Abstract

Patients with neuromuscular disorders who undergo surgical procedures are particularly predisposed to complications during the perioperative period. Such complications may arise from respiratory failure, arrhythmias,or infections, and particularly MH. It is recommended that these patients be monitored for respiratory and cardiovascular complications and receive proper respiratory toilet, physio-therapy, and incentive respirometry. Proper electrolyte balance is mandatory. They should be monitored in the ICU when necessary. Excessive sedation of these patients, and drugs that could aggravate weakness or cause MH, should be avoided. Those at risk of MH should not receive drugs that may precipitate an attack.

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