Operative management of neuromuscular disorders drugs

Evidence-based neurology checklist on operative management of neuromuscular disorders drugs: Preoperative anticholinesterase drug precautions Continue anticholinesterase agents until anaesthesia Convert oral to intravenous Pyridostigmine if needed Convert oral Pyridostigmine to intravenous…

Preoperative anticholinesterase drug precautions

  • Continue anticholinesterase agents until anaesthesia
  • Convert oral to intravenous Pyridostigmine if needed
  • Convert oral Pyridostigmine to intravenous Neostigmine if needed

Preoperative immunosuppressant drug precautions

Drugs to use with caution: neuromuscular junction (NMJ) disorders

Drugs to use with caution: muscle channelopathies

Drugs to use with caution: mitochondrial myopathies

References

  1. 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.

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