title: [Outpatient anesthesia for radiotherapy in a patient with myasthenia gravis: case report.].
abstract: OBJECTIVE
  Myasthenia Gravis (MG) is a rare autoimmune disease, characterized by the reduction in the number of nicotinic receptors in the neuromuscular junction, with an incidence of 14/100,000. The objective of this report is to describe the case of a patient with myasthenia gravis who underwent balanced general anesthesia for radiotherapy of a spinocellular carcinoma of the parotid gland as an outpatient.
  
  
  METHODS
  Male patient, 87 years old, 87 kg, physical status ASA III, with a prior history of myasthenia gravis; stroke; pacemaker for a third-degree AV block; and hypertension. He was scheduled for seven 20-minutes radiotherapy sessions under general anesthesia. In the radiotherapy room he was monitored with a cardioscope, noninvasive blood pressure, pulse oxymeter, and underwent general anesthesia with propofol and sevoflurane. After the induction, he maintained spontaneous ventilation with a Guedel canula and nasopharyngeal catheter with O2 /sevoflurane for proper fitting of the immobilizing mask. He did not present any complications in the post-anesthetic recovery room.
  
  
  CONCLUSIONS
  The choice of anesthetics and strict clinical follow-up allowed an elderly patient, with prior stroke and cardiopathy, to be submitted to balanced general anesthesia for radiotherapy, as an outpatient, with good response.
authors.affiliation: Hospital do Câncer.
authors.forename: Raquel Marcondes
authors.initials: RM
authors.lastname: Bussolotti
authors.forename: Maria Jacqueline
authors.initials: MJ
authors.lastname: Boscariol
authors.forename: Eduardo Henrique Joaquim
authors.initials: EH
authors.lastname: Giroud