Use of Regional Anesthesia in Patients with Multiple Sclerosis Volume 3 - Issue 2

Cassandra Gerhart*

• The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS

Received: April 07, 2020;  Published: May 05, 2020

Corresponding author: Cassandra Gerhart, RN, BSN, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS

DOI: 10.32474/GJAPM.2020.03.000158

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Abstract

Review Topic: Use of Regional Anesthesia in Patients with Multiple Sclerosis

Background: This article will focus on patients who have traditionally been considered contraindicated for the use of regional anesthesia. Specifically, patients with autoimmune mediated neurologic disorders. The selected pathophysiology of multiple sclerosis and regional anesthesia and their considerations via evaluation of research studies will be presented. Furthermore, suggestions for anesthesia care for these patients will be provided.

Project Aim: The purpose of this article is to and educate anesthesia providers on patients with multiple sclerosis and anesthesia implications for this population. There appears to be a lack of discussion and research in the United States regarding the use of regional anesthesia in these patients. After reading this article, the reader will be able to identify patients at an increased risk of nerve damage, evaluate them properly preoperatively, and objectively determine if the patient is considered a candidate for regional anesthesia.

Data Sources: The research information was gathered via an extensive literature review on Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and EBSCOhost. Additional resources were also utilized for physiology and pathophysiology purposes: Clinical Anesthesia 7^th edition and Nurse Anesthesia 5^th edition.

Keywords: Multiple sclerosis; Nerve damage; Regional anesthesia; Contraindications; Demyelination; Local anesthetic; Autoimmune

Abstract| Introduction| Pathophysiology of Multiple Sclerosis| Regional Anesthesia Considerations| Discussion| Conclusion| Conflict of Interest| Disclosure| Financial Support and Sponsorship| References|