Operative management of neuromuscular disorders
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Operative management of neuromuscular disorders. Avoid benzodiazepine premedication if possible. Fully referenced neurology checklist.
Premedication
- Avoid benzodiazepine premedication if possible
- Use reduced doses if needed
- Monitor premedication with pulse oximetry (SpO2) and respiratory rate
Preoperative procedure precautions
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Anaesthetic precautions
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Intraoperative anaesthetic monitoring
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Intraoperative prevention of heat loss
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Intraoperative pain management
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Post-operative precautions
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Post-operative monitoring: for 24 hours
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References
- Racca F, Mongini T, Wolfler A, et al. Recommendations for anesthesia and perioperative management of patients with neuromuscular disorders. Minerva Anestesiol 2013; 79:419-433.
- Katz JA, Murphy GS. Anesthetic consideration for neuromuscular diseases. Curr Opin Anaesthesiol 2017; 30:435-440.
- Baur CP, Schlecht R, Jurkat-Rott K, Georgieff M, Lehmann-Horn F. Anesthesia in neuromuscular disorders. Part 1: introduction. Anasthesiol Intensivmed Notfallmed Schmerzther 2002; 37:77-83.
- van den Bersselaar LR, Heytens L, Silva HCA, et al. European Neuromuscular Centre consensus statement on anaesthesia in patients with neuromuscular disorders. Eur J Neurol 2022; 29:3486-3507.
- Murphy GS. Residual neuromuscular blockade: incidence, assessment, and relevance in the postoperative period. Minerva Anestesiol 2006; 72:97-109.
