title: [Postoperative intensive care after thymectomy for myasthenia gravis].
abstract: The post-operative management of the myasthenic patient after thymectomy through sternotomy has changed in the last decades. After years of routine preoperative tracheostomies followed by routine prolonged intubation nowadays it is possible to wean the patients from the ventilation and to extubate them early after surgery while reintroducing the acetylcholinesterase inhibitors therapy. A series of 15 patients operated on between 1985 and 1988 for removal of thymic rests or thymoma is presented and confirms this evolution. The clinical and gazometric criteria allowing an early weaning from the ventilator are analyzed. However certain patients with the most severe forms of myasthenic still need prolonged ventilatory support.
authors: Département d'Anesthésiologie, CHRU, Hôpital Central, Strasbourg.
authors: J M
authors: JM
authors: Engler
authors: J M
authors: JM
authors: Wihlm
authors: M O
authors: MO
authors: Lecoube
authors: J
authors: J
authors: Franckhauser
authors: J G
authors: JG
authors: Hentz
authors: J M
authors: JM
authors: Warter
authors: J P
authors: JP
authors: Dupeyron
authors: G
authors: G
authors: Morand
authors: J P
authors: JP
authors: Witz
mesh_terms: D000328:Adult; D000368:Aged; D002800:Cholinesterase Inhibitors / Q000627:therapeutic use; D003422:Critical Care / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000145:classification / Q000188:drug therapy / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D013934:Thymectomy; D015300:Ventilator Weaning
chemical_list: D002800:Cholinesterase Inhibitors
vernacular_title: La réanimation post-opératoire après thymectomie pour myasthénie.