title: Postoperative Respiratory Failure in a Patient with Undiagnosed Myastenia Gravis.
abstract: Myasthenia gravis (MG) is an autoimmune disease caused by the development of antibodies against the nicotinic acetylcholine receptor. There is hypersensitivity against non-depolarizing muscle relaxants in these patients. Sugammadex eliminates the effects of steroid non-depolarizing muscle relaxants, such as rocuronium and vecuronium, by selectively encapsulating their molecules. In this case report, we present a case of recurarization and respiratory failure after the use of sugammadex and rocuronium in a patient with preoperatively undiagnosed myasthenia gravis.
authors.affiliation: Department of Anaesthesiology and Reanimation, Mersin University School of Medicine, Mersin, Turkey.
authors.forename: Funda
authors.initials: F
authors.lastname: Özel
authors.affiliation: Department of Anaesthesiology and Reanimation, Mersin University School of Medicine, Mersin, Turkey.
authors.forename: Ali Aydın
authors.initials: AA
authors.lastname: Altunkan
authors.affiliation: Department of Anaesthesiology and Reanimation, Mersin University School of Medicine, Mersin, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Azizoğlu
keywords: Myasthenia gravis; respiratory failure; rocuronium; sugammadex