Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report

Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report

Juvenile myasthenia gravis (JMG) is a rare autoimmune disease of children. Thymic hyperplasia is more common in JMG and patients with refractory symptoms benefit from thymectomy. This reports a successful thoracoscopic thymectomy without lung isolation in a 13-year old with JMG. This technique allow...

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Main Authors: Amila Jayasinghe, Wasula Rathnaweera, I. Wijeweera, K. B. Galketiya, V. Pinto
Format: Article
Language:English
Published: The Kandy Society of Medicine 2017-12-01
Series:Sri Lanka Journal of Medicine
Subjects:
juvenile myasthenia gravis, remifentanyl, thoracoscopic thymectomy
Online Access:https://sljm.sljol.info/articles/41
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spelling doaj-37f864e9244e49419778f0e647c6e9832020-11-25T01:30:39ZengThe Kandy Society of MedicineSri Lanka Journal of Medicine 2579-19902017-12-01262586010.4038/sljm.v26i2.4136Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case reportAmila Jayasinghe0Wasula Rathnaweera1I. Wijeweera2K. B. Galketiya3V. Pinto4Teaching Hospital, PeradeniyaTeaching Hospital, PeradeniyaTeaching Hospital, KandyTeaching Hospital, PeradeniyaUniversity of PeradeniyaJuvenile myasthenia gravis (JMG) is a rare autoimmune disease of children. Thymic hyperplasia is more common in JMG and patients with refractory symptoms benefit from thymectomy. This reports a successful thoracoscopic thymectomy without lung isolation in a 13-year old with JMG. This technique allowed faster recovery with less post-operative complications. The anaesthetic challenges associated with neuromuscular blocking agents were safely overcome by non muscle relaxant technique by the use of potent opioid remifentanyl combined with anaesthetic agents.https://sljm.sljol.info/articles/41juvenile myasthenia gravis, remifentanyl, thoracoscopic thymectomy
collection DOAJ
language English
format Article
sources DOAJ
author Amila Jayasinghe
Wasula Rathnaweera
I. Wijeweera
K. B. Galketiya
V. Pinto
spellingShingle Amila Jayasinghe
Wasula Rathnaweera
I. Wijeweera
K. B. Galketiya
V. Pinto
Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report
Sri Lanka Journal of Medicine
juvenile myasthenia gravis, remifentanyl, thoracoscopic thymectomy
author_facet Amila Jayasinghe
Wasula Rathnaweera
I. Wijeweera
K. B. Galketiya
V. Pinto
author_sort Amila Jayasinghe
title Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report
title_short Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report
title_full Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report
title_fullStr Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report
title_full_unstemmed Peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report
title_sort peri-operative management of a child with juvenile myasthenia gravis undergoing thoracoscopic thymectomy - a case report
publisher The Kandy Society of Medicine
series Sri Lanka Journal of Medicine
issn 2579-1990
publishDate 2017-12-01
description Juvenile myasthenia gravis (JMG) is a rare autoimmune disease of children. Thymic hyperplasia is more common in JMG and patients with refractory symptoms benefit from thymectomy. This reports a successful thoracoscopic thymectomy without lung isolation in a 13-year old with JMG. This technique allowed faster recovery with less post-operative complications. The anaesthetic challenges associated with neuromuscular blocking agents were safely overcome by non muscle relaxant technique by the use of potent opioid remifentanyl combined with anaesthetic agents.
topic juvenile myasthenia gravis, remifentanyl, thoracoscopic thymectomy
url https://sljm.sljol.info/articles/41
work_keys_str_mv AT amilajayasinghe perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport
AT wasularathnaweera perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport
AT iwijeweera perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport
AT kbgalketiya perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport
AT vpinto perioperativemanagementofachildwithjuvenilemyastheniagravisundergoingthoracoscopicthymectomyacasereport
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