Correct!
5. All the above

Hyperthermia is a reported risk, and it is unclear whether this is malignant hyperthermia or hyperthermia related to increased metabolism. Given the uncertainty, avoidance of anticholinergics as well as medications with increased risk of inducing malignant hyperthermia such as succinylcholine and halothane should be avoided. Awake intubations using topical anesthesia or video laryngoscopy with ketamine, propofol, remifentanil and/or rocuronium can be considered. Use of an intubating laryngeal mask (LMA) is an additional consideration. The head and neck must be maintained in a neutral position given the heightened fracture risks.

What are management strategies for adults with osteogenesis imperfecta?(Click on the correct answer to be directed to the sixth of seven pages)

1. Ketamine is preferred agent (along with propofol, etomidate, thiopental)
2. Non-depolarizing muscle relaxants are preferable since fasciculations associated with succinylcholine can cause fractures and muscle damage
3. Fiberoptic intubation
4. Avoid overextension of the cervical spine
5. All the above

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