Fisher, M McD, Rose, M · British journal of anaesthesia · 2008 · DOI
This study looked at how anesthesia should be safely given to ME/CFS patients undergoing surgery. Researchers found that while some patients experienced side effects after anesthesia, these were not severe allergic reactions and were usually temporary. The study suggests that doctors can use standard anesthesia techniques for ME/CFS patients, simply avoiding any drugs the patient has previously reacted badly to.
This research directly addresses a clinical gap affecting ME/CFS patients who require surgery. By demonstrating that standard anesthesia approaches are safe and that severe complications are unlikely, it provides evidence-based reassurance to both patients and anesthesiologists, potentially reducing unnecessary restrictions on care.
This study does not prove that all ME/CFS patients will tolerate anesthesia identically, nor does it establish why some patients experience postoperative adverse effects. The small sample size (n=27) and observational design limit generalizability, and the study does not identify specific mechanisms underlying the reported non-allergic adverse events.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Fisher, M McD & Rose, M (2008). Anaesthesia for patients with idiopathic environmental intolerance and chronic fatigue syndrome.. British journal of anaesthesia. https://doi.org/10.1093/bja/aen242
BibTeX
@article{mecfsatlas-fisher-2008-anaesthesia-patients,
author = {Fisher, M McD and Rose, M},
title = {Anaesthesia for patients with idiopathic environmental intolerance and chronic fatigue syndrome.},
journal = {British journal of anaesthesia},
year = {2008},
doi = {10.1093/bja/aen242},
note = {PubMed: 18782886},
url = {https://www.mecfsatlas.com/evidence/fisher-2008-anaesthesia-patients},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/fisher-2008-anaesthesia-patients
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