Polio Place

A service of Post-Polio Health International

anesthesia

More on the Mayo Clinic Study of Anesthesia in Post-Polio Patients

Selma H. Calmes, MD, anesthesiologist (retired), Olive View/UCLA Medical Center, Sylmar, California

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Sedation for Surgery

Lawrence C. Becker, Ventilator-Assisted Living, Fall 2003, Vol. 17, No. 3

After 45 post-polio years of avoiding surgery altogether, I have recently been forced into two significant surgical procedures. One was an emergency gallbladder operation (1999), performed laparoscopically under general anesthesia in a small community hospital.

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Facing Surgery/Decreasing Fears

Mickie McGraw, Ventilator-Assisted Living, Volume 29, Number 4

Over the past ten years, I have faced several surgeries including gall bladder removal, a mastectomy and kidney stone removal. As a person with significant respiratory weakness resulting from polio, I often found I had more concerns about complications related to my breathing than most other aspects of the surgeries. I contracted polio in 1953 and have used some sort of nocturnal ventilation from the outset - I currently use a PLV-100 positive pressure ventilator with an Oracle face mask to sleep.

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Anesthesia Update: Separating Fact from Fear (2009)

Selma Harrison Calmes MD, Retired Clinical Professor of Anesthesiology, UCLA School of Medicine

INTRODUCTION:
This talk * will briefly review the process of anesthesia care, current anesthesia practice, and how these might relate to post-polio syndrome (PPS) patients having surgery. The goal is to make clear that proper preop planning allows post-polio patients to have surgery and anesthesia with a minimum of risk. Indeed, the risk of anesthesia is much, much less than the risk of death from an error while hospitalized.

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Linking with an Anesthesiologist

Why is it so hard to link up ahead of time with the anesthesiologist who will do my case?

Daily anesthesia staffing is a complex equation! It is extremely difficult to know ahead of time who will be doing which case on a particular day. There is a constant flux of anesthesia staff (people get sick), other needed staff such as techs, incoming emergency cases, obstetric anesthesia cases, cases may move from one OR to another and so on. And, anesthesia group size is increasing; it is not unusual to have groups of over 100 anesthesiologists.

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What is New (2014)?

What’s new in anesthesia that I need to know?

This is a brief listing. Answers will be expanded as time allows in the session.

a. Better measurement of quality of care in anesthesia and better recognition of where problems are and how they could be improved.

b. Increasingly sophisticated knowledge of ventilation problems and better management of respiratory problems postop.

c. Recognition that many patients are left with residual neuromuscular block and the possible complications.

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Anesthesia and Weight Loss Surgery

What are the issues in bariatric (intestinal surgery that can facilitate weight loss) surgery for post-polio patients?

This sounds like a “quick fix” for obesity but is an area full of possible problems. There are no reports of post-polio patients having bariatric surgery.

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Anesthesia and Colonoscopy

“Do I really need to have a colonoscopy? It requires anesthesia, and I’m afraid of that.”

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Anesthesia

Modern anesthesia has become extremely safe, but many survivors fear it because of reports of problems during and after anesthesia. Potential problems include a greater sensitivity to the paralyzing drugs (muscle relaxants), possible need for mechanical ventilation after surgery, and pain problems after surgery. All survivors, especially those with a history of respiratory involvement, need to tell their surgeon and anesthesiologist about having had polio (Calmes, 1997).

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Dental Care

A GUIDE FOR PEOPLE WITH POLIO OR POST POLIO SYNDROME (PPS)

Introduction
“Oh, I wish I’d looked after me teeth”, wrote Pam Ayres in her famous poem. Good oral health and hygiene are not just about being able to smile with confidence and eat well – they are important for your general health and well being, becoming even more so as you get older.

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