Our Anesthesia Approach to A Patient with Myastenia Gravis

Yıl 2013, Cilt: 4 Sayı: 14, 58 - 62, 03.03.2015

Onur Koyuncu Selim Turhanoğlu Çağla Akkurt Kasım Tuzcu İbrahim Yetim Mustafa Uğur

Öz

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

Anahtar Kelimeler

Spinal anesthesia, myastenia gravis, inguinal hernia

MYASTENİA GRAVİSLİ BİR HASTADA SPİNAL ANESTEZİ YAKLAŞIMIMIZ

Öz

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.

Anahtar Kelimeler

Spinal anestezi, myastenia gravis, inguinal herni

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