Anesthesia notes: The patient’s elective surgery is postponed due to a diagnosis of Familial Periodic Paralysis (FPP). This genetic channelopathy poses a high risk of severe perioperative complications, as anesthesia and surgical stress can trigger acute, profound muscle paralysis via rapid potassium shifts. This could necessitate prolonged mechanical ventilation and an ICU admission. A formal pre-operative optimization plan, involving both neurology and anesthesiology, is mandatory to ensure pa
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