Oliviamsutton at 12:51, 14 June 2023

2023-06-14T12:51:27Z

← Older revision		Revision as of 05:51, 14 June 2023
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	* Non-depolarizing neuromuscular blockers may be prolonged		* Non-depolarizing neuromuscular blockers may be prolonged
	* Take caution with regional anesthesia, although it is not contraindicated		* Take caution with regional anesthesia, although it is not contraindicated
			*Neuraxial:<ref>{{Cite journal\|last=Panchamia\|first=Jason K\|last2=Gurrieri\|first2=Carmelina\|last3=Amundson\|first3=Adam W\|date=2020-07\|title=<p>Spinal Anesthesia for Amyotrophic Lateral Sclerosis Patient Undergoing Lower Extremity Orthopedic Surgery: An Overview of the Anesthetic Considerations</p>\|url=http://dx.doi.org/10.2147/imcrj.s256716\|journal=International Medical Case Reports Journal\|volume=Volume 13\|pages=249–254\|doi=10.2147/imcrj.s256716\|issn=1179-142X}}</ref>
			**Benefits: decreased chance of prolonged intubation secondary to bulbar weakness
			**Risks: Increased risk of worsening neurologic condition postoperatively, risk of sympathectomy resulting in vasodilation and hypotension, high spinal presents risk of bradycardia, worsening hypotension, cardiovascular collapse.
			*General anesthesia: Increased risk of prolonged intubation secondary to bulbar weakness

	=== Postoperative management<!-- Describe how this comorbidity may influence postoperative management. --> ===		=== Postoperative management<!-- Describe how this comorbidity may influence postoperative management. --> ===

Nkamdar: Started page and placed some epidemology facts.

2021-07-16T03:01:53Z

Started page and placed some epidemology facts.

New page

{{Infobox comorbidity
| other_names = ALS
| anesthetic_relevance = Low
| anesthetic_management = - No specific anesthetic drugs are best for this disease
- Succinylcholine may cause hyperkalemia due to LMN disease
- Non-depolarizing NMDs may be prolonged
- Bulbar involvement may increase aspiration risk
| specialty = Neurology
| signs_symptoms =
| diagnosis = Based upon clinical signs and symptoms
| treatment =
| image =
| caption =
}}

Provide a brief summary of this comorbidity here.

== Anesthetic implications ==

=== Preoperative optimization ===

=== Intraoperative management ===

* No ideal anesthesia for this condition
* Take caution with succinylcholine administration as the LMN disease may incite hyperkalemia after administration
* Non-depolarizing neuromuscular blockers may be prolonged
* Take caution with regional anesthesia, although it is not contraindicated

=== Postoperative management ===

== Related surgical procedures ==

== Pathophysiology ==

* Progressive upper and lower motor neuron degeneration

== Signs and symptoms ==

* Skeletal muscle weakness
* Atrophy of thenar eminences

== Diagnosis ==

== Treatment ==

=== Medication ===

=== Surgery ===

=== Prognosis ===

== Epidemiology ==
Affects men between the ages of 40-60

== References ==

[[Category:Comorbidities]]

Amyotrophic lateral sclerosis - Revision history

Oliviamsutton at 12:51, 14 June 2023

Nkamdar: Started page and placed some epidemology facts.