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Journals / Düzce Tıp Fakültesi Dergisi / 2005 / Cilt: 7 - Sayı: 1

Hypotension Prolonged in a Patient with Myasthenia Gravis after Epidural Anesthesia

Epidural Anestezi Sonrası Myastenia Gravis’li Bir Hastada Uzun Süren Hipotansiyon

Uzun Süren HİPOTANSİYON
Yavuz DEMİRARAN
Yaşar ÖZDEMİR
Önder ELİTAŞ
Buket KOCAMAN
Abdulkadir İSKENDER
Pages
32–34
Publication Date
2005-03-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We wanted to report our case observing severe hypotension during and after operation in the patient with myasthenia gravis performing epidural anesthesia for radical prostatectomy

📌 3 Key Takeaways

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Objective & Hypothesis:Myasthenia gravis is a chronic autoimmune disease characterized by progressive weakness and easy fatigability of voluntary skeletal muscles.
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Key Findings & Data:Clinicians are well aware of the risk of postoperative respiratory failure that may result from stress-induced exacerbation of Myasthenia gravis (myasthenic crisis), an overdose of anticholinesterases (cholinergic crisis), the residual effects of myorelaxants or other adverse drug interactions (with antibiotics or antiarrhythmics).
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Conclusion & Impact:We wanted to report our case observing severe hypotension during and after operation in the patient with myasthenia gravis performing epidural anesthesia for radical prostatectomy
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:myastenia gravis · epidural anestezi · hipotansiyon

Abstract

Myasthenia gravis is a chronic autoimmune disease characterized by progressive weakness and easy fatigability of voluntary skeletal muscles. Clinicians are well aware of the risk of postoperative respiratory failure that may result from stress-induced exacerbation of Myasthenia gravis (myasthenic crisis), an overdose of anticholinesterases (cholinergic crisis), the residual effects of myorelaxants or other adverse drug interactions (with antibiotics or antiarrhythmics). Therefore, routine postoperative ventilatory support and planned extubation in the intensive care unit have been recommended in high-risk patients. However, regional anesthesia have been suggested for the lower abdominal and extremity operations. We wanted to report our case observing severe hypotension during and after operation in the patient with myasthenia gravis performing epidural anesthesia for radical prostatectomy

Özet

Myastenia gravis istemli iskelet kaslarında ilerleyici kas zayıflığı ve kolay yorulma ile katekterize kronik otoimmun bir hastalıktır. Klinisyenler aşırı antikolinesteraz dozu (kolinerjik kriz), kas gevşeticilerin ya da diğer ilaç etkileşimlerine bağlı (antibiyotik veya antiaritmikler) residüal etkilerine bağlı MG krizini tetikleyerek postoperatif solunum yetmezliği riski oluşturabileceğinden dikkatli olmalıdırlar. Bundan dolayı yüksek riskli hastalarda, rutin ventilatör ve yoğun bakım desteği önerilmektedir. Ancak alt batın ve ekstremite ameliyatları için rejyonel anestezi tercihi yapılmaktadır. Radikal prostatektomi için epidural anestezi uygulanan Myastenia gravis’li bir hastada operasyon sırasında ve sonrasında dirençli hipotansiyon gelişen olguyu sunmak istedik

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Cite This Article

HİPOTANSİYON, U. S., DEMİRARAN, Y., ÖZDEMİR, Y., ELİTAŞ, Ö., KOCAMAN, B., İSKENDER, A. (2005). Hypotension Prolonged in a Patient with Myasthenia Gravis after Epidural Anesthesia. Düzce Tıp Fakültesi Dergisi, Cilt: 7 - Sayı: 1, 32–34. https://ajindex.com/articles/420293

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References (8)

  1. Faldes FE, McNall PG. Myasthenia gravis: A guide for anesthesiologists. Anesthesiology, 23: 837–872, 1962.
  2. Roblin WH, Levinson G, Shnider SM, Wright RG. Anesthetic considerations for myasthenia gravis and pregnancy. Anesth Analg, 57: 441– 447, 1978. Plauche Wc. Myasthenia gravis. Clin Obstet Gynecol, 26: 592–604, 1983.
  3. Coaldrake LA, Livingston P. Myasthenia gravis in pregnancy. Anaesth Intens Care, ll: 254 -257, 1983. Roizen MF. Anesthetic implications of Concurrent Diseases. Ed: Miller RD, 5th edition, Phildelphia, 25, 973–974, 2000.
  4. Savarase JJ, Caldwell EJ, Lien AC, Miller RD. Pharmacology of muscle releaxants and their antagonists. Anesthesia. Ed: Miller RD, 5th edition, Phildelphia, 12, 447–471, 2000.
  5. Chevalley C, Spiliopoulos A, Perrot M, Tschopp JM, Licker M. Perioperative medical management and outcome following thymectomy for myasthenia gravis. Can J Anesth, 48: 446–451, 2001.
  6. Tsunezuka Y, Oda M, Matsumoto I, Tamura M, Watanabe G. Ekstended tymectomy in patients with Myastenia gravis with high thorasic epidural anesthesia alone. World J. Surg, 28: 962–966, 2004.
  7. Angelo RD, Gerancher JC. Combined spinal and epidural analgesia in a parturient with severe myasthenia gravis. Reg Anesth and Pain Med, 23: 201–203, 1998.
  8. Georgiou L, Bousoula M, Spetsaki M. Combined thorasic epidural and general anesthesia with laryngeal mask airway for laparoscopic cholecystectomy in a patient with myasthenia gravis. Anesthesia, 55: 821-822, 2000.