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Anesthetic management in Pediatric Neuromuscular disorders

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Tikka Mir
Tikka Mir

This document summarizes the anesthetic management considerations for pediatric patients with various neuromuscular disorders. It discusses cerebral palsy, muscular dystrophies like Duchenne and Becker's, myotonias, mitochondrial myopathies, channelopathies, and malignant hyperthermia. Key points include increased sensitivity to medications, difficult airways, respiratory and cardiac issues, hypothermia risks, and triggering agents for malignant hyperthermia like succinylcholine and inhalational anesthetics. Close monitoring is important due to potential complications in the postoperative period.

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Anesthetic Management of Pediatric Neuromuscular disorders DR GHULAM MOHAMMED MIR Assistant Consultant Anesthesiology , King Fahad medical City , Riyadh KSA
Neuromuscular Disease ,[object Object],[object Object],[object Object],[object Object]
Cerebral palsy ,[object Object],[object Object],[object Object]
Cerebral palsy ,[object Object],[object Object],[object Object]
Cerebral palsy – preoperative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebral palsy – intraoperative ,[object Object],[object Object],[object Object]
Peri-operative management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway maintenance ,[object Object],[object Object]
DRUG RESPONSES ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POST JUNCTIONAL NEUROMUSCULAR DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object]
Muscular Dystrophy ,[object Object],[object Object]
Muscular Dystrophy ,[object Object],[object Object],[object Object],[object Object]
Pre-operative Assessment ,[object Object],[object Object],[object Object],[object Object]
Anesthetic Considerations ,[object Object],[object Object],[object Object]
Anesthetic Considerations(contd.) ,[object Object],[object Object],[object Object],[object Object]
Becker’s Muscular dystrophy ,[object Object],[object Object],[object Object]
Anesthetic Considerations ,[object Object],[object Object],[object Object],[object Object]
Myotonias ,[object Object],[object Object],[object Object],[object Object]
Myotonias (contd.) ,[object Object],[object Object]
Anesthetic considerations : ,[object Object],[object Object],[object Object]
Anesthetic considerations(contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mitochondrial and Metabolic Myopathies ,[object Object],[object Object],[object Object],[object Object]
Mitochondrial and Metabolic Myopathies ,[object Object],[object Object],[object Object],[object Object]
Mitochondrial and Metabolic Myopathies ,[object Object],[object Object],[object Object]
Mitochondrial and Metabolic Myopathies ,[object Object],[object Object]
Anesthetic Considerations ,[object Object],[object Object]
Anesthetic Considerations(contd.) ,[object Object],[object Object]
Anesthetic Considerations(contd.) ,[object Object],[object Object]
Anesthetic Considerations ,[object Object],[object Object]
Anesthetic Considerations (contd.) ,[object Object],[object Object]
Channelopathies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Familial periodic paralysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Familial periodic paralysis ,[object Object],[object Object],[object Object],[object Object]
Familial periodic paralysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Familial periodic paralysis ,[object Object],[object Object],[object Object],[object Object]
Ligand-gated calcium Channelopathy ,[object Object],[object Object],[object Object]
Ligand-gated calcium Channelopathy ,[object Object],[object Object]
Malignant hyperthermia ,[object Object],[object Object]
MH” Triggering Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs of Malignant Hyperthermia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs of Malignant Hyperthermia …continued ,[object Object],[object Object],[object Object]
Treatment of “MH”: Acute Phase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Phase Management : ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Phase Management: ,[object Object],[object Object],[object Object],[object Object]
Acute Phase Management: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Phase Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of “MH”: Post Acute Phase ,[object Object],[object Object],[object Object],[object Object],[object Object]
conclusion ,[object Object],[object Object]
Conclusion(contd.) ,[object Object]
QUESTIONS and COMMENTS

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Anesthetic management in Pediatric Neuromuscular disorders

  • 1. Anesthetic Management of Pediatric Neuromuscular disorders DR GHULAM MOHAMMED MIR Assistant Consultant Anesthesiology , King Fahad medical City , Riyadh KSA
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