Investigation of clinical course in amyotrophic lateral sclerosis with surgical interventions to prevent aspiration pneumonia

Eriguchi, Makoto; Yakushiji, Yusuke; Maeda, Kazumasa; Suzuyama, Kohei; Tanaka, Jun; Mizoguchi, Megumi; Monji, Mikio; Kuratomi, Yuichiro; Hara, Hideo

doi:10.1016/j.jns.2017.08.583

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…50 Subglottic suction tubes, laryngectomy, or diversion surgery are alternative options that modify aspiration risk. Laryngectomy rarely appears to be used in Western countries 51 but is more common in Japan. 52–54 There is limited evidence regarding the life-prolonging benefits of invasive ventilation in ALS.…”

Section: Treatmentsmentioning

confidence: 99%

Perioperative management of patients with amyotrophic lateral sclerosis: A narrative review

Paul

Wright

Palmer

et al. 2022

Anaesth Intensive Care

View full text Add to dashboard Cite

Amyotrophic lateral sclerosis, or motor neuron disease, is an uncommon progressive neurological disorder. Professionals working in the perioperative field may encounter patients with amyotrophic lateral sclerosis only rarely. The relevant published literature on amyotrophic lateral sclerosis is broad in scope, but a contemporary review focused on the perioperative period is absent. This structured narrative review seeks to provide a summary of the contemporary management of patients and then focuses on eliciting if there are perioperative management considerations specific to amyotrophic lateral sclerosis that can be optimised. A comprehensive structured narrative literature review, including grey literature searching, indicated worsening ventilatory failure is of prime concern but that patients may present with a broad range of neurological symptoms, and that cardiovascular and cognitive dysfunction specific to amyotrophic lateral sclerosis may exist and be occult. Exacerbation of neuromuscular weakness during the perioperative period is multifaceted and requires the application of a high standard of the core principles of surgical and anaesthetic management of neuromuscular disease. Standard perioperative approaches require rigorous attention and potential exists for significant alteration. There is a potential high risk of postoperative increased morbidity from neurological decline and mortality from pulmonary complications. A meticulous approach to planning preoperative assessment, shared decision-making, intraoperative and postoperative care is required.

show abstract