Anaesthetic concerns in pregnancy associated with myelin oligodendrocyte glycoprotein encephalomyelitis

Ramadurai, Rajasekar; Kuberan, Aswini; Balasubramanian, Mukilan; Dey, Ankita

doi:10.4103/ija.ija_288_22

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2024

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“…6,7 The use of succinylcholine has been shown to cause hyperkalemia and hence has to be avoided. 8 These patients are susceptible to chronic pain, hence adequate pain relief should be provided with multimodal analgesia. 9 Our concerns in the anesthetic management of this patient included avoiding post-operative pulmonary complications, preventing chronic pain from developing, and avoiding factors that cause a relapse of the disease.…”

Section: Discussionmentioning

confidence: 99%

Devic’s disease: A devil’s trap for the Anesthesiologist: A case report

Binoy,

Thomas,

Verghese

2024

IJCA

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Neuromyelitis optica spectrum of disorder (NMOSD) is a rare autoimmune inflammatory relapsing astrocytopathy due to immunoglobulin against aquaporin 4 (AQP4) receptor. It is characterized by demyelination of the spinal cord and optic nerve. The vulnerability of demyelinated neurons to local anesthetics and increased response to neuromuscular blocking agents make the choice of anesthesia challenging. The rarity of the disease has made the literature scarce, especially when it comes to those undergoing surgeries and their anesthetic implications. We report the case of a 54-year-old patient with NMOSD who underwent modified radical mastectomy for carcinoma breast under general anesthesia. The use of multimodal analgesia for pain management and the avoidance of muscle relaxants resulted in an uneventful perioperative period in this patient.

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Section: Discussionmentioning

confidence: 99%