Preparing for Surgery: Advice on Anaesthetics and Pain Control for ME Patients

Purpose: To provide crucial guidance for individuals with Myalgic Encephalomyelitis (ME) undergoing surgical procedures, focusing on anaesthetics, pain control, and key medical considerations.

Key Points:

1. Communication:
   • Patients and carers should inform medical teams about their condition, especially anaesthetists, for personalized care.
   • In emergencies, relatives or friends must highlight ME-related concerns to the surgical team.
2. Drug Sensitivities:
   • Sedative Analgesics: ME patients are highly sensitive to painkillers like codeine and morphine due to central nervous system damage. Risks include respiratory depression and dizziness.
   • Non-Sedative Analgesics: Over-the-counter options like Paracetamol have risks, especially to the liver.
   • Muscle Relaxants: ME patients may require lower doses due to their weakened muscles.
3. Anaesthesia and Pain Control:
   • Adjustments needed for ME patients include lower anaesthetic doses, alternative methods like spinal anaesthesia, and careful use of painkillers to manage postoperative pain.
4. Systemic Dysfunctions:
   • Autonomic Nervous System: May lead to irregular pulse and blood pressure issues.
   • Enteric Nervous System: Gastroesophageal reflux and vomiting are common risks.
   • Respiratory Problems: Diaphragm weakness may require pre-surgery respiratory tests.
5. Special Considerations for ME Patients:
   • Positioning during surgery is vital to avoid nerve damage due to muscle and joint issues.
   • Day surgery may be unsuitable, with post-discharge home support often essential.
   • Local anaesthetics should be adrenaline-free for safer application.

Target Audience: This summary is intended for ME patients, caregivers, healthcare providers, surgeons, anaesthetists, and anyone involved in planning or conducting surgical procedures.

Overall Outcome: By understanding ME’s impact on anaesthesia and pain management, healthcare teams can minimize risks and ensure tailored care. Patients and carers are empowered to advocate for their needs and safety.