General anesthesia for a patient with multiple system atrophy

Quadratus Lumborum Block as Sole, Homeostatic-Preserving Anesthetic for a Patient with Multiple System Atrophy Undergoing Open Inguinal Hernia Repair: A Case Report

“…While there are published reports of surgical procedures under single-shot spinal anesthesia [ 7 ], the general consensus among practitioners seems to be that if possible, low-dose spinal or epidural anesthesia should be used and titrated carefully to minimize hemodynamic compromise [ 6 ]. Should general anesthesia be necessary, an arterial line should be placed [ 8 ].…”

Perioperative Autonomic Dysfunction in a Patient With Charcot-Marie-Tooth Disease: A Case Report

“…11 The perioperative care of patients with autonomic neuropathy entails adequate close monitoring and vigilance, including attention to hemodynamics, fluid status, blood loss, and vasopressor responses. 1,2 Fluid status should be adequately assessed by reviewing the patient's fasting duration, preoperative hemodynamics, and urine output. However, patients with autonomic neuropathies might have increased natriuresis and supine hypertension, making the determination of fluid status challenging.…”

“…1 However, the interplay between anesthesia and an unrecognized autonomic dysfunction can result in unexpected perioperative hemodynamic instability. 2,3 Charcot-Marie-Tooth (CMT) disease is a group of inherited neurological disorders characterized by chronic sensory and motor polyneuropathy. 4 The prevalence of autonomic neuropathy in patients with CMT can be as high as 65%.…”

The Case of Urosepsis Followed with the Diagnosis of Multiple System Atrophy in Intensive Care Unit

“…Ayrıca rehabilitasyona erken başlanması da önemlidir. Otonomik semptomları olan MSA hastalarında anestezik ajanlar açısından dikkatli olmak gerekmektedir; anestezik ajan kullanıldığında bu hastalarda ani hipotansiyon gelişebileceği akılda tutulmalıdır (14). Trakeotomi yoğun bakım hastalarında yaygın uygulanan bir prosedürdür.…”