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Multiple sclerosis and anesthetic implications

机译：多发性硬化症及其麻醉意义

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Purpose of review: Multiple sclerosis remains prevalent among young women in the United States of America. It is a disease of the central nervous system that possesses many anesthetic implications. Anesthesia providers need to understand this disorder and its multiple anesthetic ramifications. Recent findings: Recent work has provided more insight into the etiology of multiple sclerosis, its pathogenesis, diagnosis and natural history. A number of new medications have also been added to the therapeutic armamentarium. Optimal anesthetic care entails a thorough preoperative evaluation, medication history and neurologic examination, intraoperative awareness of conditions that may precipitate attacks and lead to potentially life-threatening complications, as well as postoperative attention to respiratory and other risks. Recommendations for management are based on information from small retrospective studies and anecdotal reports. Summary: In summary, our aim is to provide an updated view of multiple sclerosis from the perspective of perioperative care, emphasizing interactions between the disease, surgery and anesthesia. < copyright > 2002 Lippincott Williams & Wilkins.
机译：审查目的：多发性硬化症在美国的年轻女性中仍然很普遍。它是一种中枢神经系统疾病，具有多种麻醉作用。麻醉提供者需要了解这种疾病及其多种麻醉效果。最新发现：最新工作为多发性硬化症的病因，发病机理，诊断和自然病史提供了更多见识。治疗性武器库中还添加了许多新药物。最佳的麻醉护理需要进行全面的术前评估，药物治疗史和神经系统检查，术中要注意可能加重发作并导致可能危及生命的并发症的状况，以及术后注意呼吸系统疾病和其他风险。对管理的建议基于小型回顾性研究和轶事报告中的信息。简介：总之，我们的目的是从围手术期护理的角度提供多发性硬化症的最新观点，强调疾病，手术和麻醉之间的相互作用。 <版权> 2002 Lippincott Williams＆Wilkins。

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