Respiratory considerations

  • 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.

Information based on consensus statement (published in January 2010)