Papenfuss Tim, Roch Carmen, Schwemmer Ulrich
Klinik und Poliklinik für Anästhesiologie, Universitätsklinikums Würzburg.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Nov;44(11-12):766-71; quiz 773-6. doi: 10.1055/s-0029-1242129. Epub 2009 Nov 16.
Neuromuscular disorders are rare and often not very well diagnosed diseases. They can be separated in prejunctional, junctional or postjunctional diseases. General anesthesia is connected with a higher risk, therefore regional anesthesia could often be regarded with favour and could be a safe alternative. Because of the lack of systematically studies and guidelines the decision choosing a regional anesthesia is always a risk-benefit-analysis. This and also the detailed preoperative neurological status must, because of forensic reason, exactly be documented.