Journal of Clinical Anesthesia
Volume 14, Issue 6 , Pages 474-477, September 2002

Progressive Systemic Sclerosis:

Clinical Manifestations and Anesthetic Considerations

  • James G Roberts, MD

      Affiliations

    • Department of Anesthesiology, Texas Tech University, Lubbock, TX 79430, USA
    • Resident in Anesthesiology
    • ,
  • Raj Sabar, MD

      Affiliations

    • Department of Anesthesiology, Texas Tech University, Lubbock, TX 79430, USA
    • Resident in Anesthesiology
    • ,
  • John A Gianoli, MD

      Affiliations

    • Department of Anesthesiology, Texas Tech University, Lubbock, TX 79430, USA
    • Resident in Anesthesiology
    • ,
  • Alan D Kaye, MD, PhD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Dr. Kaye at the Department of Anesthesiology, Texas Tech University Medical Center, 3601 4th St., Lubbock, TX 79430, USA
    • Department of Anesthesiology, Texas Tech University, Lubbock, TX 79430, USA
    • Professor and Chairman, Department of Anesthesiology

Received 7 March 2002; accepted 14 March 2002.

Abstract 

Progressive systemic sclerosis is a complex disease that involves multiple organ systems. Patients with progressive systemic sclerosis can pose a significant challenge for the anesthesiologist. As the disease progresses, profound musculoskeletal, gastrointestinal, pulmonary, renal, and cardiac system changes occur. The anesthesiologist should understand these complex pathophysiological processes so as to minimize potential risks, including aspiration and other pulmonary complications. In addition, the potential for reduced renal function and intraoperative hypothermia-induced vasospasm must be considered.

Keywords:  Airway, difficult, anesthesia, aspiration, pulmonary, systemic sclerosis, progressive

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PII: S0952-8180(02)00380-X

Journal of Clinical Anesthesia
Volume 14, Issue 6 , Pages 474-477, September 2002

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