Undiagnosed myopathy before surgery and safe anaesthesia table

Carlo P. Trevisan, Alma Accorsi, Lucia O. Morandi, Tiziana Mongini, Gennaro Savoia, Elvira Gravino, Corrado Angelini, Vincenzo Tegazzin

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with muscle pathology are a challenge for anaesthesiologists because of possible life-threatening general anaesthesia complications. A review of the current medical literature on the issue clearly indicates that increasing awareness by anaesthesiologists in recent years has led to a reduction in the occurrence of adverse events in patients with diagnostically well-defined muscle disease. On the other hand, the current emerging aspect is that the great majority of complications concern subjects with clinically non-overt (silent to mildly symptomatic) and thus undiagnosed myopathy. With a view to improving prevention of possible critical anaesthesia complications in such patients, we present a "Safe Anaesthesia Table", listing both the anaesthetic drugs to be avoided and those considered harmless for myopathic patients, irrespective of age and type of pathology. In addition, a brief outline about the clinical aspects suggestive of a possible muscle pathology is also provided. Using "safe drugs" during routine surgical procedures in subjects with suspected undiagnosed myopathy will enable the anaesthesiologist to avoid delaying surgery, while protecting them from anaesthesia complications. By following this approach the presumed myopathy can be properly investigated after surgery.

Original languageEnglish
Pages (from-to)100-105
Number of pages6
JournalActa Myologica
Volume32
Issue number2
Publication statusPublished - 2013

Keywords

  • Anaesthesia complications
  • HyperCKemia
  • Safe anaesthesia
  • Undiagnosed myopathy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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