Myasthenia gravis and thymectomy: an anaesthetic approach.
In this paper, we discuss the case of a 48 year old patient with newly diagnosed myasthenia gravis, who is scheduled for a thymectomy. The patient's history showed an undocumented difficult intubation, which led to the approach of an awake intubation after sevoflurane induction. We used a slightly modified non-muscle relaxant technique, allowing induction and maintanance of anesthesia under safe and excellent conditions.
Bogaert
F
F
University Hospital of Ghent, Gent, Belgium. F_Bogaert@yahoo.com
Verhaeghen
D
D
Herregods
L
L
D000758:Anesthesia / Q000379:methods*; D006801:Humans; D008297:Male; D008738:Methyl Ethers / Q000494:pharmacology; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000601:surgery*; D009466:Neuromuscular Blocking Agents / Q000627:therapeutic use; D011183:Postoperative Complications / Q000517:prevention & control; D011729:Pyridostigmine Bromide / Q000627:therapeutic use; D000077149:Sevoflurane; D013934:Thymectomy / Q000379:methods*
D008738:Methyl Ethers; D009466:Neuromuscular Blocking Agents; D000077149:Sevoflurane; D011729:Pyridostigmine Bromide