Anaesthetic management of people with multiple sclerosis

被引:0
|
作者
Dubuisson, N. [1 ,5 ]
d'Aertrijcke, O. de Maere [2 ]
Marta, M. [1 ,3 ]
Gnanapavan, S. [1 ,3 ]
Turner, B. [1 ,3 ]
Baker, D. [1 ]
Schmierer, K. [1 ,3 ]
Giovannoni, G. [1 ,3 ]
Verma, V. [4 ]
Docquier, M-A. [2 ]
机构
[1] Queen Mary Univ London, Blizard Inst Neurosci, Fac Med & Dent, 4 Newark St, London E1 2AT, England
[2] Clin Univ St Luc, St Luc Hosp, Dept Anesthesia & Perioperat Med, Ave Hippocrate 10, B-1200 Brussels, Belgium
[3] Barts Hlth NHS Trust, Royal London Hosp, Clin Board Med Neurosci, London, England
[4] Barts Hlth NHS Trust, Royal London Hosp, Dept Anesthesia, London, England
[5] Clin Univ St Luc, Neuromuscular Reference Ctr, Dept Neurol, Ave Hippocrate 10, B-1200 Brussels, Belgium
关键词
Multiple sclerosis; Anaesthesia; Preoperative assessment; Peri-operative management; Pregnancy; DISEASE-MODIFYING THERAPIES; REGIONAL ANESTHESIA; ACETYLCHOLINE-RECEPTORS; AUTONOMIC DYSFUNCTION; NEURAXIAL ANESTHESIA; SKELETAL-MUSCLE; NERVOUS-SYSTEM; PATIENT; ANALGESIA; PREGNANCY;
D O I
10.1016/j.msard.2023.105045
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
There is a lack of published guidelines on the management of patients with multiple sclerosis (MS) undergoing procedures that require anaesthesia and respective advice is largely based on retrospective studies or case reports.The aim of this paper is to provide recommendations for anaesthetists and neurologists for the management of patients with MS requiring anaesthesia.This review covers issues related to the anaesthetic management of patients with MS, with a focus on preoperative assessment, choice of anaesthetic techniques and agents, side-effects of drugs used during anaesthesia and their potential impact on the disease evolution, drug interactions that may occur, and the need to use monitoring devices. A systematic PubMed research was performed to retrieve relevant articles.
引用
收藏
页数:9
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