Myotonic dystrophy type 1: anaesthetic management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Myotonic dystrophy type 1: anaesthetic management. Thiopental, Propofol: unless carefully titrated, Succinylcholine. Fully referenced neurology checklist.

Anaesthetic agents contraindicated in myotonic dystrophy

  • Thiopental
  • Propofol: unless carefully titrated
  • Succinylcholine
  • Propranolol
  • Anticholinesterase drugs

Anaesthetic monitoring in myotonic dystrophy

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The muscular impairment rating scale (MIRS)

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References

  1. 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. 
  2. Romero A, Joshi GP. Neuromuscular disease and anesthesia. Muscle Nerve 2013; 48:451-460.

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