Anesthesia for Thymectomy in Myasthenia Gravis - Report of 9 cases.
10.4097/kjae.1987.20.2.152
- Author:
Hee Soon SA
1
;
Soon Ho NAM
;
Sou Ouk BANG
;
Hung Kun OH
Author Information
1. Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Anesthesia*;
Atropine;
Dyspnea;
Enflurane;
Halothane;
Humans;
Hydroxyzine;
Inhalation;
Intubation;
Intubation, Intratracheal;
Lung Abscess;
Myasthenia Gravis*;
Pneumothorax;
Postoperative Care;
Premedication;
Thiopental;
Thymectomy*;
Ventilators, Mechanical
- From:Korean Journal of Anesthesiology
1987;20(2):152-158
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We have mnanaged the anesthetic and postoperative care in 9 patients with myasthenia gravis who underwent thymectomy and obtained following resultsa : 1) Premedication was glycoprrrolate 0.004mg/kg or atropine 0.01mg/kg and hydroxyzine 1~2mg/kg, I.M. Anesthetic induction was by thiopental 4~5mg/kg with 7he inhalation of halothane 1~2 % or enflurane 4~5%, and followed by endotracheal intubation. Anesthetic maintanance was done by N2O and halothane or enflurane. 2) Mean duration from the end of operation to intubation was 11.83+/-3.37hrs. 5 patients required reintubation. The mean duration from the extubation to reintubation was 33.11+/- 21.06hrs for these 5 patients. Over all this entire group of patients were placed on the respirator for a mean of 5.33+/-1.46dara. 3) Complication occured were 2 cases of cholinergic crisis, 1 cases of lung abscess, 2 cases of dyspnea and 1 case of tension pneumothorax 4) Abstinence of muscle relaxants, adequate respiratory care and the protection from cholinergic crisis were the most important factora for successful management.
