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

Autor: Amila Jayasinghe, Wasula Rathnaweera, I. Wijeweera, K. B. Galketiya, V. Pinto
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Sri Lanka Journal of Medicine, Vol 26, Iss 2, Pp 58-60 (2017)
Druh dokumentu: article
ISSN: 2579-1990
DOI: 10.4038/sljm.v26i2.41
Popis: 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.
Databáze: Directory of Open Access Journals