Letter to Editor
Year 2013,
Volume: 4 Issue: 14, 58 - 62, 03.03.2015
Abstract
Myastenia Gravis is an autoimmune neuromuscular transmission disorder. The main symptoms of the illness muscle weakness, progressive muscle tiredness, ptosis, disorders. In these patients group, the main problems are determination of appropiate anesthesia medicine doses and shortness of breath in the postoperative period. There were a few reports of spinal anesthesia prefered for the patients with myastenia gravis in the literature. In this article, we present a case of spinal anesthesia was applied for inguinal hernia operation
References
- S. J. Tzartos, T. Barkas, M. T. Cung et al., Anatomy of the antigenic structure of a large membrane
- autoantigen, the muscle-type nicotinic acetylcholine receptor, Immunological Reviews, vol. 163,
- pp. 89–120, 1998.
- U Kiran, M Choudhury, N Saxena et al. Sevoflurane as a sole anaesthetic for thymectomy in
- myasthenia gravis. Acta Anaesthesiol Scand 2000; 44: 351–353.
- M Kurukumbi, RL Weir, A Jayam-Trouth. Rare association of thymoma, myasthenia gravis and
- sarcoidosis: a case report. J Med Case Reports, 2008;2:245
- Gronseth GS, Barohn RJ. Practice parameter: thymectomy for autoimmune myasthenia gravis:
- report of the quality standards subcommittee of the AmericanAcademy of Neurology. Neurology
- ; 55: 7–15.
- Rowney DA, Doyle E. Epidural and subaracnoid blockade in children. Anaesthesia 1998; 53: 980–
- -
- Jamal BT, Herb K. Perioperative management of patients with myasthenia gravis: prevention
- recognition and treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: 612–5.
- Leventhal SR, Orkin FK, Hirsh RA. Prediction of the need for postoperative mechanical ventilation
- in MG. Anesthesiology 1980; 53: 26–30.
- Lederhaas G. Spinal anaesthesia in paediatrcs. Best Pract Res Clin Anaesthesiol 2003; 17: 365–
- -
- Tobias JD. Spinal anaesthesia in infants and children. Paediatr Anaesth 2000; 10: 5–16.
- Datta S. Anaesthetic and obstetric management of high-risk pregnancy. 2nd ed. Philadelphia, PA:
- Mosby; 1996. Autoimmune disease; pp. 357–61
- Rolbin WH, Levinson G, Shnider SM, Wright RG. Anaesthetic considerations for myasthenia
- gravis and pregnancy. Anesth Analg. 1978;57:441–7
- Silvani P, Camporesi A, Agostino MR et al. Caudal anesthesia in pediatrics: an update. Minerva
- Anesthesiol 2006; 72: 453–459
- Baraka A. Anaesthesia and myasthenia gravis. Middle East J Anesthesiol 1992; 39: 476–486.
- Inoue S, Shiomi T, Furuya H. Severe bradycardia in a patient with myasthenia gravis during
- transurethral ureterolithotripsic procedure under spinal anaesthesia. Anaesth Intensive Care 2002;
- : 387.
- Abel M, Eisenkraft JB. Anaesthetic implications of myasthenia gravis. Mt Sinai J Med 2002; 69:
- –37.
Year 2013,
Volume: 4 Issue: 14, 58 - 62, 03.03.2015
Abstract
Myastenia Gravis otoimmün bir nöromüsküler iletim bozukluğudur. Hastalığın başlıca semptomları kas güçsüzlüğü, ilerleyici kas yorgunluğu, pitozis, oftalmopleji ve bulbar bozukluklardır. Bu hasta grubunda anestezi açısından başlıca problemler uygun anestezik ilaç dozlarının belirlenmesi ve postoperatif süreçte solunum yetmezliğidir. Literatürde myastenia gravisli hastalarda
spinal anestezi tercih edildiğine dair yayınlar mevcuttur. Bu makalede inguinal herni operasyonu için uygulanan spinal anestezi vakası sunulmaktadır.
References
- S. J. Tzartos, T. Barkas, M. T. Cung et al., Anatomy of the antigenic structure of a large membrane
- autoantigen, the muscle-type nicotinic acetylcholine receptor, Immunological Reviews, vol. 163,
- pp. 89–120, 1998.
- U Kiran, M Choudhury, N Saxena et al. Sevoflurane as a sole anaesthetic for thymectomy in
- myasthenia gravis. Acta Anaesthesiol Scand 2000; 44: 351–353.
- M Kurukumbi, RL Weir, A Jayam-Trouth. Rare association of thymoma, myasthenia gravis and
- sarcoidosis: a case report. J Med Case Reports, 2008;2:245
- Gronseth GS, Barohn RJ. Practice parameter: thymectomy for autoimmune myasthenia gravis:
- report of the quality standards subcommittee of the AmericanAcademy of Neurology. Neurology
- ; 55: 7–15.
- Rowney DA, Doyle E. Epidural and subaracnoid blockade in children. Anaesthesia 1998; 53: 980–
- -
- Jamal BT, Herb K. Perioperative management of patients with myasthenia gravis: prevention
- recognition and treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: 612–5.
- Leventhal SR, Orkin FK, Hirsh RA. Prediction of the need for postoperative mechanical ventilation
- in MG. Anesthesiology 1980; 53: 26–30.
- Lederhaas G. Spinal anaesthesia in paediatrcs. Best Pract Res Clin Anaesthesiol 2003; 17: 365–
- -
- Tobias JD. Spinal anaesthesia in infants and children. Paediatr Anaesth 2000; 10: 5–16.
- Datta S. Anaesthetic and obstetric management of high-risk pregnancy. 2nd ed. Philadelphia, PA:
- Mosby; 1996. Autoimmune disease; pp. 357–61
- Rolbin WH, Levinson G, Shnider SM, Wright RG. Anaesthetic considerations for myasthenia
- gravis and pregnancy. Anesth Analg. 1978;57:441–7
- Silvani P, Camporesi A, Agostino MR et al. Caudal anesthesia in pediatrics: an update. Minerva
- Anesthesiol 2006; 72: 453–459
- Baraka A. Anaesthesia and myasthenia gravis. Middle East J Anesthesiol 1992; 39: 476–486.
- Inoue S, Shiomi T, Furuya H. Severe bradycardia in a patient with myasthenia gravis during
- transurethral ureterolithotripsic procedure under spinal anaesthesia. Anaesth Intensive Care 2002;
- : 387.
- Abel M, Eisenkraft JB. Anaesthetic implications of myasthenia gravis. Mt Sinai J Med 2002; 69:
- –37.
There are 31 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 3, 2015 |
| Submission Date | March 1, 2015 |
| Published in Issue | Year 2013 Volume: 4 Issue: 14 |
