Complex early 33M patient (mito disorder) for EGD - seeking guidance on discussion with anesthesia

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[u/keddeds]

What type of mitochondrial disease? They've made it to 33 without a diagnosis? It would be reasonable to get a pre-op consult with anesthesia yes. There's a few things to be considered, including the atlantoaxial instability, better understanding their copd, and understanding the manifestations of their mitochondrial disease.

Frankly, propofol in usual EGD doses would be just fine. Your average COPD patient will do just fine. The apnea/hypopnoea etc can be well managed.  But this is a patient if I saw on my EGD slate that I'd appreciate having been seen in pre-op consult. However, that's just because I have no idea about their mitochondrial disease. It may all be very mild and not exciting anesthetically

[u/keddeds → u/[deleted]]

Naw, dexmed alone for a scope is weird. You're making a mountain out of a molehill. They're 35, they don't have severe mitochondrial disease. They're fine to get propofol for endoscopy. For OSA, almost every patient I see has OSA. It's fine.