Anesthesia and CFIDS
National CFIDS Foundation, Inc.
103 Aletha Rd., Needham, MA 02192-3931
Phone (617) 449-3535
Fax: (617) 449-8606, (617) 925-3393
Attention Anesthesiologists and Physicians
Information Regarding Anesthesia
"I would recommend that potentially hepatoxic anesthetic gases not be
used including Halothane. Patients with Chronic Fatigue Syndrome are known
to have reactivated herpes group viruses which can produce mild and usually
subclinical hepatitis. Hepatotoxic anesthetic gases may then provoke fulminate
hepatitis. Finally, patients with this syndrome are known to have intracellular
magnesium and potassium depletion by electron beam x-ray spectroscopy
techniques. For this reason I would recommend the patient be given Micro-K
using 10mEq tablets, 1 table BID and magnesium sulfate 50% solution, 2cc
IM 24 hours to surgery. The intracellular magnesium and potassium depletion
can result in untoward cardiac arrhythmias during anesthesia. For local
anesthesias, I would recommend using Lidocaine sparingly and without
epinephrine."
- Paul R. Cheney, MD, PhD, 1992
"Suggestions on anesthesia include using Diprivan (propofol) as the
induction agent along with nitrous oxide and isoflurane (Forane) as the
maintenance agent. The ones to avoid are histamine releasers that include
sodium pentothol as well as a broad group of muscle relaxants in the Curare
family, including Tracrium and Mevacurium."
- Patrick. L. Class, MD, 1996
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