• Evaluate the adequacy of drug therapy (corticosteroids, anticholinesterases)
• Pulmonary function tests
• Continue anticholinesterase drugs preoperatively (controversial)
• Modest preoperative medication (benzodiazepines; avoid opioids)
• Induction of anesthesia with an IV drug followed by a volatile anesthetic to facilitate tracheal intubation
• Anticipate the need for postoperative support of ventilation of the patient's lungs
• Avoid drugs with skeletal muscle relaxing properties (antiarrhythmics, diuretics, aminoglycosides)
• Sensitivity to nondepolarizing muscle relaxants
• Nonrelaxant techniques (avoids risks of muscle relaxants by using combinations of propofol, opioids, and short-acting inhaled anesthetics)

IV = intravenous.