Laryngeal Mask Airway insertion with total intravenous anesthesia for transsternal thymectomy in patients with myasthenia gravis: report of 5 cases.
Myasthenia gravis is a chronic autoimmune disease characterized by a reduction of postsynaptic nicotinic acetylcholine receptors at the neuromuscular junction. Most myasthenia gravis patients require thymectomy. Intravenous (IV) anesthetics may be superior to inhalation agents in these patients. The Laryngeal Mask Airway (LMA), when compared with the endotracheal tube, causes less airway resistance, which in turn may lead to a decreased bronchoconstrictive reflex, less atelectasis, and fewer pulmonary infections. We report 5 patients with myasthenia gravis, who underwent transsternal thymectomy with total IV anesthesia and LMA.
Sener
Mesut
M
Department of Anesthesiology and Reanimation, Baskent University Faculty of Medicine, Ankara, Turkey. mesutsenertr@yahoo.co.uk <mesutsenertr@yahoo.co.uk>
Bilen
Ahmet
A
Bozdogan
Nesrin
N
Kilic
Dalokay
D
Arslan
Gulnaz
G
D000328:Adult; D000368:Aged; D000403:Airway Resistance / Q000502:physiology; D000771:Anesthesia, Intravenous; D018686:Anesthetics, Intravenous; D001794:Blood Pressure / Q000502:physiology; D002245:Carbon Dioxide / Q000097:blood; D005260:Female; D006801:Humans; D017214:Laryngeal Masks; D008297:Male; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000601:surgery*; D019990:Perioperative Care; D010880:Piperidines; D015742:Propofol; D000077208:Remifentanil; D013249:Sternum / Q000601:surgery*; D013934:Thymectomy
D018686:Anesthetics, Intravenous; D010880:Piperidines; D002245:Carbon Dioxide; D000077208:Remifentanil; D015742:Propofol