Updates in anesthetic management of neuro-muscular disorders
Sameh Ramadan El-Awady Aboulnaga,;
Abstract
Many very different diseases are classified as neuromuscular diseases, and the majority of them are and difficult to differentiate, unless one is dealing with them on a daily basis.
However, patients with neuromuscular disorders often share the same three problems in relation to an aesthesia, independent of the type of the disorder: they may have a cardiomyopathy, a restricted respiratory capacity and an abnormal response to muscle relaxants.
As regard intracranial lesions, hemiplegic patients show resistance to non-depolarizing agents and hyperkalaemia and may be cardiac arrest in response to suxamrthonium administration.
Multiple sclerosis and diffusti intracranial lesions accompanied with normal response to non-depolarizing agents, and hyperkalaemia and contracture following suxamethonium administration.
Spinal cord lesions such as paraplegia and amyotrophic lateral sclerosis associated with increased sensitivity to non depolarizing agents, and hyperkalaemia and contracute after suxamethonium adminisation.
However, patients with neuromuscular disorders often share the same three problems in relation to an aesthesia, independent of the type of the disorder: they may have a cardiomyopathy, a restricted respiratory capacity and an abnormal response to muscle relaxants.
As regard intracranial lesions, hemiplegic patients show resistance to non-depolarizing agents and hyperkalaemia and may be cardiac arrest in response to suxamrthonium administration.
Multiple sclerosis and diffusti intracranial lesions accompanied with normal response to non-depolarizing agents, and hyperkalaemia and contracture following suxamethonium administration.
Spinal cord lesions such as paraplegia and amyotrophic lateral sclerosis associated with increased sensitivity to non depolarizing agents, and hyperkalaemia and contracute after suxamethonium adminisation.
Other data
| Title | Updates in anesthetic management of neuro-muscular disorders | Other Titles | الحديث فى المعاملة التخديرية للاضطرابات العصعضلية | Authors | Sameh Ramadan El-Awady Aboulnaga, | Issue Date | 2002 |
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