title: Sevoflurane and thoracic epidural anesthesia for trans-sternal thymectomy in a child with juvenile myasthenia gravis.
abstract: Literature on anesthetic management of juvenile myasthenia gravis (JMG) for thymectomy is limited. Recently, use of inhalational agents and total intravenous anesthesia with propofol and remifentanyl has been reported. All these techniques individually or in combination have been tried to avoid the use of muscle relaxant. We report successful use of sevoflurane as sole anesthetic agent for intubation and in combination with thoracic epidural anesthesia for intraoperative anesthetic management in a 5-year-old child with JMG.
authors.affiliation: Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Valluvan
authors.initials: V
authors.lastname: Rangasamy
authors.affiliation: Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Kaushal
authors.initials: K
authors.lastname: Kumar
authors.affiliation: Department of Anaesthesia, Command Hospital, Pune, Maharashtra, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Rai
authors.affiliation: Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Dalim Kumar
authors.initials: DK
authors.lastname: Baidya
keywords: JMG; sevoflurane; thoracic epidural anesthesia