Mucopolysaccharidoses: anesthetic considerations and clinical manifestations.

Mucopolysaccharidosis (MPS) is a group of genetic disorders that presents challenges during anesthetic care and in particular difficulty with airway management. Patients should be managed by experienced anesthesiologists at centers that are familiar with these types of conditions. Rarely encountered disease states have been identified as important topics in the continuing education of clinical anesthesiologists.

Psoriasis and anesthetic considerations.

Psoriasis can be extremely debilitating for the patient due to the fact that it can affect the whole integument, and, because of its chronic nature, can afflict the individual for most of his/her life. In some cases such as erythrodermic psoriasis, the disease can even be fatal due to complications such as high-output congestive heart failure. The anesthesiologist must take many factors into consideration such as the severity of the disease, where to place regional anesthesia, and the anesthetic complications associated with certain types of psoriatic medications.