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.
Brodsky
Melissa A
MA
Department of Anesthesiology, Drexel University College of Medicine, Philadelphia, PA 19102-1192, USA. melissa.brodsky@drexelmed.edu
Smith
Jennifer A
JA
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