Anesthetic considerations for a patient with myasthenia gravis undergoing deep sedation in an outpatient oral surgery setting
10.17245/jdapm.2019.19.1.67
- Author:
Shamit S PRABHU
1
;
Saad A KHAN
;
Alexander L DOUDNIKOFF
;
Uday N REEBYE
Author Information
1. Triangle Implant Center, Durham, NC, USA. saad.khan92294@gmail.com
- Publication Type:Case Report
- Keywords:
Anesthesia;
Myasthenia Gravis;
Oral Surgery
- MeSH:
Anesthesia;
Deep Sedation;
Fatigue;
Humans;
Muscle Weakness;
Myasthenia Gravis;
Outpatients;
Receptors, Cholinergic;
Surgery, Oral
- From:Journal of Dental Anesthesia and Pain Medicine
2019;19(1):67-72
- CountryRepublic of Korea
- Language:English
-
Abstract:
Myasthenia gravis (MG) is a neuromuscular autoimmune disorder which clinically presents as muscular weakness and fatigue due to autoantibody formation against acetylcholine receptors (AChR), leading to their subsequent destruction. Due to the neuromuscular implications of MG, certain considerations must be taken into account when providing anesthesia to MG patients. In the following case report, we have outlined procedural considerations for the anesthetic management of a patient with MG undergoing deep sedation for an elective oral surgery in an outpatient setting, as well as a discussion of relevant literature.
