The following articles discuss the use of anaesthesia in people with mast cell disease:

The Drugs section of this article sets out medications that are, and are not. appropriate for people with mast cell disease.  It also recommends using preservative free anaesthetics if possible.

There appears to be significant overlap of the suitable medications with the medications that are suitable for people with mitochondrial disease.

  • Lide B, Mcguire S, Liu H, Chandler C.  Mast cell activation syndrome-anesthetic challenges in two different clinical scenarios.  J Biomed Res. 2022 May 28;36(6):435-439.  DOI:  10.7555/JBR.36.20220071. PMID:  35660674; PMCID:  PMC9724157.

A fairly general article.  The Triggers section includes some advice on suitable medications.

  • Giron SE, Trinooson CD, Movahedi R.  Anesthetic Management of a Patient With Mast Cell Activation Syndrome:  A Case Study.  AANA J. 2021 Aug;89(4):307-316.  PMID:  34342568.

No free text version available so it hasn’t been possible to review this article, but as it is more recent than the Mastocytosis Society Canada article, it would be worth reviewing.