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Post-Polio Syndrome (PPS)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Paralytic SensitivitySkeletal Muscle WeaknessDelayed EmergenceReduced MACAvoid HypothermiaAspirationFull StomachCopious SecretionsDyspneaAvoid HypoventilationAvoid OpioidsAvoid SuccinylcholineHyperkalemiaCareful PositioningRefractory PainAvoid Neostigmine

Pathophysiology

Post-polio syndrome (PPS) is new, progressive weakness appearing decades after paralytic poliomyelitis , in an estimated 25% to 40% of paralytic survivors. It is not reinfection, and these patients...

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