Exacerbation of myasthenia gravis after tourniquet release.
By avoiding use of neuromuscular blocking agents, regional anesthesia techniques may allow safer care of patients with myasthenia gravis. We describe a patient who had myasthenic crisis after foot surgery during spinal anesthesia. Lactate released on deflation of bilateral tourniquets constituted the most likely cause of the exacerbation.
Department of Anesthesiology, Drexel University College of Medicine, Philadelphia, PA 19102-1192, USA. melissa.brodsky@drexelmed.edu
Melissa A
MA
Brodsky
Jennifer A
JA
Smith
D000125:Achilles Tendon / Q000601:surgery; D000328:Adult; D000775:Anesthesia, Spinal; D005260:Female; D005528:Foot / Q000601:surgery; D006801:Humans; D009157:Myasthenia Gravis / Q000150:complications / Q000503:physiopathology*; D019637:Orthopedic Procedures; D014111:Tourniquets / Q000009:adverse effects*; D014552:Urinary Tract Infections / Q000150:complications