Your CRNA will want to know if any of your joints have limited ROM, especially your neck. We will want to see how well you can flex and extend your neck before we begin anesthesia. We will tailor our plan for airway management accordingly, to ensure that you will be well ventilated during your surgery. Inadvertent bone fractures are always possible with this condition. Your CRNA is aware of how easily bones break, and will watch vigilantly to be sure that all positioning maneuvers are carried out in a slow and gentle manner.
Most people are on medication and the disease is well controlled.
In most cases it is advisable to continue taking your blood pressure medicine as you normally would right up to the time of surgery. By continuing your medication, your blood pressure will usually continue to be well controlled. Occasionally, we encounter patients who are out of control. If your blood pressure is too high while you are under the care of a CRNA, you will be given an intravenous medication to lower your blood pressure. These medications work very quickly.