Document Detail

Anaesthesia for patients with idiopathic environmental intolerance and chronic fatigue syndrome.
MedLine Citation:
PMID:  18782886     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Idiopathic environmental intolerance syndrome (IEI), formerly known as multiple chemical sensitivity syndrome (MCSS), and chronic fatigue syndrome (CFS) are controversial diseases and there is little information in the literature regarding the appropriate conduct of anaesthesia in such patients. METHODS: We studied 27 patients referred to our anaesthetic allergy clinic with IEI and CFS and performed literature and web searches on anaesthesia in these disorders. RESULTS: The patients had a significant incidence of adverse events related to anaesthesia which were not allergic in nature. The adverse effects usually occurred postoperatively and were self limiting. Patients with IEI and CFS are not at risk of anaphylaxis and there is no scientific evidence that any drug or technique is excessively hazardous. Neither our patients nor the review of the scientific literature supported available web-based recommendations for the anaesthetic management of patients with IEL and CFS. CONCLUSIONS: We suggest that the anaesthetist may be best to use the technique they would use if the patient did not have CFS or IEI but avoid drugs to which there is a history of adverse response. Anaesthesia is likely to be associated with adverse effects in these patients but the effects are not likely to be severe. A series of recommendations for the safe and harmonious conduct of anaesthesia in patients with CFS and IEI are provided.
M McD Fisher; M Rose
Related Documents :
9167116 - Autoantibodies to sympathetic ganglia, gad, or tyrosine phosphatase in long-term iddm w...
9789606 - Ugt1a1 genotypes and glucuronidation of sn-38, the active metabolite of irinotecan.
18287446 - Nephrogenic systemic fibrosis: a report of 29 cases.
9759746 - Absence of oxalobacter formigenes in cystic fibrosis patients: a risk factor for hypero...
1759116 - Alpha 1-antitrypsin allo- and phenotypes in gastric and duodenal ulcer.
3941346 - Diagnosis and surgical treatment of disabling positional vertigo.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  101     ISSN:  1471-6771     ISO Abbreviation:  Br J Anaesth     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-10     Completed Date:  2008-10-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  England    
Other Details:
Languages:  eng     Pagination:  486-91     Citation Subset:  IM    
Royal North Shore Hospital of Sydney, St Leonards, NSW 2065, Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anesthesia / adverse effects*,  methods
Drug Hypersensitivity / etiology
Fatigue Syndrome, Chronic / complications*
Multiple Chemical Sensitivity / complications*
Postoperative Complications
Skin Tests / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Positive pressure ventilation: what is the real cost?
Next Document:  Changes in body mass index by birth cohort in Japanese adults: results from the National Nutrition S...