Myasthenia gravis – can i relax my patient? a case report

Ana Sofia Cunha, Ana Paula Santos, R. Andrade
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Abstract

Myasthenia gravis is a neuromuscular disease with a multisystemic involvement and multiple drug interactions not restricted to neuromuscular blockers, but also including anaesthetic and analgesic agents, increasing the risk of anaesthesia-related complications. In this case report, we describe our safe and effective anaesthetic technique for a Myasthenia Gravis patient submitted to Video-Assisted Thoracoscopy thymectomy, requiring neuromuscular block. Since we are dealing with an increasingly frequent disease, the authors wish to highlight the need for appropriate consensus, as no standardized recommendations have been brought through, encouraging scientific societies in the provision of guidelines, especially whenever neuromuscular blocking agents are necessary.
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重症肌无力-我能放松我的病人吗?病例报告
重症肌无力是一种多系统累及和多种药物相互作用的神经肌肉疾病,不仅限于神经肌肉阻滞剂,还包括麻醉和镇痛药物,增加了麻醉相关并发症的风险。在这个病例报告中,我们描述了我们的安全有效的麻醉技术,重症肌无力患者提交视频胸腔镜胸腺切除术,需要神经肌肉阻滞。由于我们正在处理一种日益频繁的疾病,作者希望强调需要适当的共识,因为没有标准化的建议被通过,鼓励科学协会提供指导方针,特别是在需要神经肌肉阻断剂的时候。
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