title: Anesthetic Management of a Patient with Myasthenia Gravis for Meningioma Surgery - A Case Report.
abstract: Myasthenia gravis is a disease of great challenge to the anesthesiologist, because it affects the neuromuscular junction. Anesthetic management involves either muscle relaxant or non-muscle relaxant techniques. This case report documents the safe use of fentanyl, propofol and sevoflurane combination guided by bispectral index, without the use of muscle relaxants in a patient with myasthenia gravis who presented for meningioma surgery.
authors.affiliation: Apollo Hospitals Bilaspur, Chhattisgarh, India.
authors.forename: V K
authors.initials: VK
authors.lastname: Srivastava
authors.affiliation: Himalayan Institute of Medical Sciences, Dehradun, India.
authors.forename: S
authors.initials: S
authors.lastname: Agrawal
authors.affiliation: Apollo Hospitals Bilaspur, Chhattisgarh, India.
authors.forename: M
authors.initials: M
authors.lastname: Ahmed
authors.affiliation: Apollo Hospitals Bilaspur, Chhattisgarh, India.
authors.forename: S
authors.initials: S
authors.lastname: Sharma
mesh_terms: D019162:Anesthetics, Combined / Q000008:administration & dosage*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D005283:Fentanyl / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications / Q000601:surgery*; D008579:Meningioma / Q000150:complications / Q000601:surgery*; D008738:Methyl Ethers / Q000008:administration & dosage; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000150:complications / Q000601:surgery*; D015742:Propofol / Q000008:administration & dosage; D000077149:Sevoflurane
chemical_list: D019162:Anesthetics, Combined; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D000077149:Sevoflurane; D005283:Fentanyl; D015742:Propofol