Combined thoracic epidural and general anaesthesia with laryngeal mask airway for laparoscopic cholecystectomy in a patient with myasthenia gravis

Georgiou, L.; Bousoula, M.; Spetsaki, M.

doi:10.1046/j.1365-2044.2000.01629-24.x

Cited by 9 publications

(4 citation statements)

References 4 publications

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“…A number of successful applications of LMA during various surgical interventions for airway control in patients with MG have been reported [10,[13][14][15][16]. A review of the English literature showed few studies of LMA use in patients undergoing transsternal thymectomy.…”

Section: Discussionmentioning

confidence: 99%

Laryngeal Mask Airway insertion with total intravenous anesthesia for transsternal thymectomy in patients with myasthenia gravis: report of 5 cases

Şener

Bilen

Bozdogan

et al. 2008

Journal of Clinical Anesthesia

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Section: Discussionmentioning

confidence: 99%

Laryngeal Mask Airway insertion with total intravenous anesthesia for transsternal thymectomy in patients with myasthenia gravis: report of 5 cases

Şener

Bilen

Bozdogan

et al. 2008

Journal of Clinical Anesthesia

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“…There is only one published case report describing the intraoperative airway management of myasthenic patients undergoing surgery other than thymectomy 19 . This describes the successful use of a classic laryngeal mask airway (LMA) in a patient with myasthenia gravis undergoing laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

The ProSeal Laryngeal Mask in Myasthenia Gravis

2002

Anaesth Intensive Care

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This case describes the anaesthesia management of a patient with myasthenia gravis who required mastectomy with axillary lymph node clearance. After withholding medical therapy for the myasthenia preoperatively on the day of surgery, anaesthesia was maintained with halothane, nitrous oxide and a remifentanil infusion. Muscle relaxants were avoided, facilitated by the use of a ProSeal (Intravent, Orthofix, Maidenhead, United Kingdom) laryngeal mask airway for positive pressure ventilation. The ProSeal laryngeal mask airway is a new laryngeal mask device with a modified cuff and a drainage tube which has been shown to have advantages over older designs for use during positive pressure ventilation. The rationale for the management of this patient with myasthenia is discussed.

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“…Telithromycin can be used with great caution 3 . Pre-operatively, patients should take regularly their therapy 4 .…”

Section: Preoperative Assessment and Preparation Of Patients With Neumentioning

confidence: 99%

Preoperative assessment and preparation of patients with neurologic disorders

Palibrk

Kalezić

Vučetić³

et al. 2011

ACTA CHIR IUG

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Ageing of populataion world wide has significant contribution as one of the major risk factor for neurodegenerative disorders. The patients with neurodegenerative as well as other neuological diseases presented the population with possible great need either of small or big surgical intervention. There are several important issues in patients with neurological diseases: the nature, disease duration, therapy, the patient's ability to live without assistance. Neurological disease may become worst by general and regional anesthesia. Stopping therapy may lead to worsening of neurological diseases. One of the main common threat is the risk of significant cardiorespiratory complications, which is important in assessing operational risk, in preoperative preparation and in terms of postoperative recovery and outcomes of surgical treatment. This has resulted in greater preoperative care by detailed patient history evaluation and examination, patient information and informed consent. Besides the effect of the anaesthetic technique upon the course of the disease, there is also the interaction of drugs administered during anaesthesia and patient medication. Several undiagnosed diseases may be disclosed following a surgical/anaesthetic intervention.

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Combined thoracic epidural and general anaesthesia with laryngeal mask airway for laparoscopic cholecystectomy in a patient with myasthenia gravis

Cited by 9 publications

References 4 publications

Laryngeal Mask Airway insertion with total intravenous anesthesia for transsternal thymectomy in patients with myasthenia gravis: report of 5 cases

Laryngeal Mask Airway insertion with total intravenous anesthesia for transsternal thymectomy in patients with myasthenia gravis: report of 5 cases

The ProSeal Laryngeal Mask in Myasthenia Gravis

Preoperative assessment and preparation of patients with neurologic disorders

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