Anaesthetic management of myasthenia gravis in coronary artery bypass grafting
Myasthenia gravis (MG) is an autoimmune disease affecting the neuromuscular junction causing weakness and fatigability of muscles. Careful perioperative management is required because of the unpredictable susceptibility to muscle relaxants. In this case report, we describe the successful management...
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Wolters Kluwer Medknow Publications
2020-01-01
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Series: | Annals of Cardiac Anaesthesia |
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doaj-7711940ead3b40d1832b82e8268953ef2020-11-25T02:28:24ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842020-01-0123220921110.4103/aca.ACA_176_18Anaesthetic management of myasthenia gravis in coronary artery bypass graftingVinayak VanjariMarc O MaybauerMyasthenia gravis (MG) is an autoimmune disease affecting the neuromuscular junction causing weakness and fatigability of muscles. Careful perioperative management is required because of the unpredictable susceptibility to muscle relaxants. In this case report, we describe the successful management of a MG patient for normothermic coronary artery bypass graft (CABG) surgery with titrated doses of rocuronium without prolonged postoperative ventilation. We chose rocuronium because full and rapid recovery of neuromuscular blockade is possible with sugammadex. We conclude that using rocuronium is safe during general anaesthesia in MG patients undergoing on-pump CABG when combined with continuous neuromuscular monitoring and careful perioperative management.http://www.annals.in/article.asp?issn=0971-9784;year=2020;volume=23;issue=2;spage=209;epage=211;aulast=Vanjaricoronary artery bypass graftmyasthenia gravisrocuronium |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vinayak Vanjari Marc O Maybauer |
spellingShingle |
Vinayak Vanjari Marc O Maybauer Anaesthetic management of myasthenia gravis in coronary artery bypass grafting Annals of Cardiac Anaesthesia coronary artery bypass graft myasthenia gravis rocuronium |
author_facet |
Vinayak Vanjari Marc O Maybauer |
author_sort |
Vinayak Vanjari |
title |
Anaesthetic management of myasthenia gravis in coronary artery bypass grafting |
title_short |
Anaesthetic management of myasthenia gravis in coronary artery bypass grafting |
title_full |
Anaesthetic management of myasthenia gravis in coronary artery bypass grafting |
title_fullStr |
Anaesthetic management of myasthenia gravis in coronary artery bypass grafting |
title_full_unstemmed |
Anaesthetic management of myasthenia gravis in coronary artery bypass grafting |
title_sort |
anaesthetic management of myasthenia gravis in coronary artery bypass grafting |
publisher |
Wolters Kluwer Medknow Publications |
series |
Annals of Cardiac Anaesthesia |
issn |
0971-9784 |
publishDate |
2020-01-01 |
description |
Myasthenia gravis (MG) is an autoimmune disease affecting the neuromuscular junction causing weakness and fatigability of muscles. Careful perioperative management is required because of the unpredictable susceptibility to muscle relaxants. In this case report, we describe the successful management of a MG patient for normothermic coronary artery bypass graft (CABG) surgery with titrated doses of rocuronium without prolonged postoperative ventilation. We chose rocuronium because full and rapid recovery of neuromuscular blockade is possible with sugammadex. We conclude that using rocuronium is safe during general anaesthesia in MG patients undergoing on-pump CABG when combined with continuous neuromuscular monitoring and careful perioperative management. |
topic |
coronary artery bypass graft myasthenia gravis rocuronium |
url |
http://www.annals.in/article.asp?issn=0971-9784;year=2020;volume=23;issue=2;spage=209;epage=211;aulast=Vanjari |
work_keys_str_mv |
AT vinayakvanjari anaestheticmanagementofmyastheniagravisincoronaryarterybypassgrafting AT marcomaybauer anaestheticmanagementofmyastheniagravisincoronaryarterybypassgrafting |
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1724838336903774208 |