Lyme Disease and Anesthesia Considerations

Tammy Smit1

  • 1is a clinical nurse anesthetist, Huguley Hospital, Fort Worth, Texas. She is a graduate of Texas Wesleyan School of Nurse Anesthesia. She is a professional speaker.

AANA Journal
|October 2, 2019
PubMed

Insights

This review examines Lyme disease, a common tick-borne illness caused by Borrelia bacteria. It covers epidemiology, diagnosis, treatment, and crucial anesthetic considerations for this emerging infectious disease.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Anesthesiology

Background:

  • Lyme disease is a significant public health concern in the United States, ranking as the fifth most common nationally notifiable disease.
  • It is the most frequently reported vector-borne illness, transmitted by the Ixodes scapularis tick (deer tick/blacklegged tick).
  • The causative agent is Borrelia bacteria, leading to an emerging infectious disease with diverse clinical manifestations.

Purpose of the Study:

  • To comprehensively review the epidemiology, clinical presentation, diagnosis, and treatment of Lyme disease.
  • To specifically focus on the anesthetic implications associated with Lyme disease infection.
  • To provide an updated overview for clinicians managing patients with Lyme disease.

Main Methods:

  • Systematic literature review of epidemiological data.
  • Analysis of clinical case reports and series regarding presentation and diagnosis.
  • Review of current treatment guidelines and anesthetic management strategies.

Main Results:

  • Lyme disease incidence and geographic distribution are increasing.
  • Early diagnosis and treatment are crucial for favorable outcomes.
  • Anesthetic management requires careful consideration of potential neurological and cardiac involvement.

Conclusions:

  • Lyme disease presents a growing challenge in infectious disease management.
  • Understanding anesthetic implications is vital for safe surgical and procedural care in affected patients.
  • Further research into long-term sequelae and optimal anesthetic techniques is warranted.

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