Anaesthetics for the Chemically
Question: I am looking
for information on relatively safe general anesthetics for people with
multiple chemical sensitivities. I am scheduled for surgery in two
weeks and the prospect of anesthetics is a bit scary, since I have chemical
sensitivities. Where can I find information
Dr. Gerald Ross responds: MCS or chemically intolerant patients usually do better with anesthetics than they expect to. They are better treated with IVs in glass bottles if available, as the plastic bottles leach the plastic components into the IV liquid solution. Straight saline is preferred over other IV solutions.
However, long experience
indicates that the following anesthetic agents are
pentothalGenerally MCS or chemically intolerant patients should AVOID the halogenated inhaled anesthetics, as these patients do not recover from them easily or detoxify them well. Patients may have a longer recovery, with prolonged sedation and as a result, longer hospital stays:
FluothaneIf possible, avoid Nitrous Oxide, but many patients will do okay with it, if essential.
by the anesthesiologist to produce a slight alkalinity in the
The forgoing is taken partly from my experience and also from what Dr. Rea has taught and published in his medical textbook series: Chemical Sensitivity, W.J.Rea, Vol 4, CRC Press, Lewis Publishers, Boca Raton, 1997, p.2820.
March 6, 2003
Re dental anesthetics for people with chemical sensitivities, Dr. Patricia Beresford recommends anesthetics without epinephrine, particularly Citanest Plain which is one to which most people have not had much exposure. It has been well tolerated by many people with chemical sensitivities.
Dr. Gerald Ross and
Dr. Patricia Beresford are medical doctors with many years experience treating
patients with chemical sensitivities. Because there is much
variation among people with chemical sensitivities, it is impossible to
know whether a particular individual will have problems with a particular