- Even if someone with DMD already has problems with the breathing muscles, certain measures can make surgery safer, though there will still be an increased risk. A pre-operative assessment of breathing function in a centre familiar with DMD is very important. Pre-operative training in the use of non-invasive ventilation and assisted cough, and specialised interventions may be needed.
- Physiotherapists should always be involved if someone with DMD is having surgery.
- Planning and proactive assessments and management of risk is the key to safe surgery in DMD.