Anaesthetic Management of a patient with Myasthenia Gravis and Small Bowel Intussusception for Jejuno-Ileal Anastomoses

Autor: Pawan Kumar Jain, Poonam Kalra, Mamta Sharma, Adhokshaj Joshi
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: The Indian Anaesthetists' Forum, Vol 16, Iss 1, Pp 1-4 (2016)
Druh dokumentu: article
ISSN: 0973-0311
Popis: Myasthenia gravis is a chronic autoimmune disease affecting voluntary skeletal muscles. The altered sensitivity of acetylcholine receptors to muscle relaxants and concomitant treatment with anticholinesterase in these patients affect their anaesthetic management. Patients who have undergone bowel anastomosis and are on regular anticholinesterase treatment are susceptible to anastomotic leaks. We report successful anaesthetic management of class I myasthenic patient with coexisting small bowel intussusception operated for jejuno-ileal anastomoses using regional, inhalational and intravenous (i.v) anaesthesia based on train of four responses, and avoiding the use of reversal (anticholinesterase).
Databáze: Directory of Open Access Journals