Anesthesia for thymectomy
2011
Anesthesia Techniques for Thymectomy in Myasthenia Gravis
Editorial
Author Information
Author(s): El-Dawlatly Abdelazeem
Primary Institution: College of Medicine King Saud University
Conclusion
The use of a nonmuscle relaxant anesthetic technique for trans-sternal thymectomy provides excellent intra- and postoperative conditions.
Supporting Evidence
- The nonmuscle relaxant technique was first described in 1994.
- The technique has been widely accepted and verified in many subsequent studies worldwide.
- A modified anesthetic technique for thoracoscopic thymectomy was also described with excellent outcomes.
Takeaway
When patients with myasthenia gravis need thymectomy, using a special anesthesia technique without muscle relaxants can help them do better during and after surgery.
Methodology
The nonmuscle relaxant technique involves inserting a thoracic epidural catheter in an awake patient, followed by induction with propofol and fentanyl.
Participant Demographics
Patients with myasthenia gravis, including juvenile cases.
Digital Object Identifier (DOI)
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