Title

Anesthetic Management Without The Use Of Neuromuscular Blocking Agents In Myasthenia Gravis Patient Undergoing Coronary Artery Bypass Grafting And Thymectomy

Division

North Florida

Hospital

Ocala

Document Type

Poster

Publication Date

10-19-2019

Keywords

myasthenia gravis, anesthesia, perioperative management, case reports, autoimmune disorders

Disciplines

Anesthesiology | Critical Care | Immune System Diseases

Abstract

We describe a novel and effective anesthetic management of a 67 year old male with myasthenia gravis (MG) who underwent combined coronary artery bypass graft and thymectomy. Induction of general anesthesia with endotracheal intubation was performed with propofol and remifentanyl without use of any neuromuscular blocking agents (NMBA). General anesthesia was then maintained with inhaled isoflurane and continuous intravenous infusion of sufentanyl and dexmedetomidine. In ICU, trachea was extubated within two hours from admission and no complications occurred during the following 24 hours ICU stay. Avoidance of NMBA may improve outcomes by decreasing the risks associated with their use.

Publisher or Conference

Anesthesiology Annual Meeting 2019

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