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Chapter 21 - Anesthesia for Neuromuscular and Collagen Vascular Diseases

Published online by Cambridge University Press:  24 May 2023

Alan David Kaye
Louisiana State University School of Medicine
Richard D. Urman
Brigham and Women’s Hospital, Boston
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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.

Publisher: Cambridge University Press
Print publication year: 2023

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