Post poliomyelitis syndrome is a disorder related to the recurrence of neuromuscular symptoms in survivors of paralytic poliomyelitis. These patients are extremely sensitive to anaesthetic drugs, intolerant to cold, and often present with respiratory dysfunction. They also show a high prevalence of dyslipidemia and coronary artery disease subsequent to which they are being frequently posted for elective and emergency cardiac procedures. Anesthetic management of these cases requires great caution, as delayed emergence and respiratory complications have been reported in these cases. We report and discuss anaesthetic management of two cases of PPS which were operated for CABG in our institute.

Keywords: Anaesthesia, Post polio syndrome, Postpoliomyelitis syndrome, Coronary artery bypass grafting, CABG.

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Abhiruchi Patki, MD, PDCC

Associate Professor, Department of Anaesthesiology,

Nizam’s Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana State