Anesthetic Management for Thymectomy in the Patients with Myasthenia Gravis-Eight cases report.

Lee,  Sang Heon; Lee,  Seoung Mork; Cho,  Seong Doo; Song,  Nam Weon; Lee,  Keon Hwa

doi:1991.24.1.179

Korean J Anesthesiol > Volume 24(1); 1991 > Article

Case Report

Korean Journal of Anesthesiology 1991;24(1):179-187.
DOI: https://doi.org/10.4097/kjae.1991.24.1.179

Anesthetic Management for Thymectomy in the Patients with Myasthenia Gravis-Eight cases report.

Sang Heon Lee, Seoung Mork Lee, Seong Doo Cho, Nam Weon Song, Keon Hwa Lee

Department of Anesthesiology, Maryknoll Hospital, Pusan, Korea.

Abstract

Myasthenia Gravis is a chronic disorder of neuromuscular transmission characterized by weakness, fatigue of voluntary muscles, especially exacerbations and remissions, a rare disease in Korea. Special considerations are required in the anesthetic management of the myasthenic patients undergoing surgery under general anesthesia and in the postoperative respiratory management by anesthesi olgists. Authors report 8 cases of anesthesia, using N20-02-Enflurane without using nondepolarizing and depolarizing muscle relaxants for thymectomy, experienced during the year 1986~1990.

Key Words: Myasthenia gravis; Muscle relaxants; Thymectomy; Anesthetic management; Respiratory management