Question

Anesthetic implications of multiple sclerosis include:

a. the postponement of elective procedures during relapse
b. exacerbation induced by peripheral nerve block
c. exacerbation of symptoms secondary to hypothermia
d. the presence of significant peripheral neuropathy causing severe hyperkalemia after succinylcholine administration

Answer 1

Anesthetic implications of multiple sclerosis include postponement of elective procedures during relapse, risk of symptom exacerbation following peripheral nerve blocks, exacerbation of symptoms due to hypothermia, and careful monitoring for hyperkalemia after succinylcholine administration. Option A,B,C,D all are correct.

Step-by-step explanation:

Multiple sclerosis (MS) is a disease where the immune system attacks the myelin sheath in the central nervous system, which can impact anesthetic management during surgical procedures. Anesthetic implications for patients with MS include:

1. Postponement of elective procedures during an MS relapse, as surgeries during this period may lead to worsening of symptoms.
2. There is a risk of exacerbation of MS symptoms following peripheral nerve blocks.
3. Hypothermia may exacerbate MS symptoms, so care should be taken to maintain normothermia during anesthesia.
4. While succinylcholine administration has been associated with hyperkalemia in other conditions involving peripheral neuropathy, this is not typically a significant issue with MS. However, it is important for clinicians to be cautious and monitor for this potential complication.

Multiple sclerosis can significantly influence anesthetic techniques. Preventing hypothermia and careful monitoring of the patient's neurological status before, during, and after surgery are essential for optimal outcomes. Moreover, any signs of neuromuscular dysfunction should be carefully evaluated before the administration of drugs like succinylcholine.