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Guide for patients having surgery
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==Talking to your anesthesiologist== It is important to ask to meet with your anesthesiologist in advance to discuss the resources below. === Anesthetic agents === Whether or not you have a formal diagnosis, patients with ME may also have a diagnosis of [[mast cell activation disorder]] or may otherwise be sensitive to certain classes of drugs used for anesthesia. Your anesthesiologist may need to create a special anesthesiology protocol; for example, avoiding [[histamine]]-releasing, hepatoxic and [[Category:Muscle relaxants|muscle-relaxing drugs]]. Β Β Β === Hydration === Since ME/CFS patients have hydration/[[low blood volume]] concerns, ask if the anesthesiologist could allow you to drink clear fluids beforehand, depending on the surgery. === Cervical spine risks === In addition, patients with [[ME/CFS]] who have structural cervical issues such as [[craniocervical instability]] (CCI) or [[cervical spinal stenosis]] will need to have their head and neck kept in a neutral position during surgery to help limit the risk of exacerbation or damage. This is especially important for patients with [[hypermobility]], [[Ehlers-Danlos syndrome]] (EDS) or [[Postural orthostatic tachycardia syndrome]] (POTS).{{citation needed | date = 2022}} === Resources to share with your anesthesiologist === * [http://drlapp.com/resources/advice-for-pwcs-anticipating-anesthesia-or-surgery/ Advice for PWCs Anticipating Anesthesia or Surgery] - Hunter Hopkins Center * [https://www.prohealth.com/library/evergreen_pages/anesthesia-recommendations-for-chronic-fatigue-syndrome-myalgic-encephalomyelitis Anesthesia Recommendations For Chronic Fatigue Syndrome & Myalgic Encephalomyelitis]
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