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Anesthetic Technique in a Patient with Multiple Sclerosis Scheduled For Nephrectomy for a Renal Tumor: A Case Report

DOI : https://doi.org/10.36349/EASJACC.2020.v02i01.001
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Multiple sclerosis is one of the most common autoimmune demyelinating disorders. The commonest presentation includes multiple sensory deficits, cranial nerve palsies, limb weakness, paraesthesias, cardiac dysrhythmias, autonomic dysfunction, ventilatory disturbances leading to hypoxaemia and respiratory failure. Thus posing challenges to the anaesthesiologist. Appropriate preoperative evaluation, administration of a good premedication, careful selection of the anesthetic agents and effective postoperative pain control can prevent problems after prolonged major surgery in patients with MS. We report successful anesthetic management in a patient who was a known case of MS for past ten years and presented with renal cell carcinoma to undergo nephrectomy under general anesthesia.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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