• Saudi J Anaesth · Jan 2013

    Case Reports

    Low-dose spinal anesthesia for urgent laparotomy in severe myasthenia gravis.

    • Rodríguez Miguel Angel Palomero MA Department of Anesthesiology, Hospital de Madrid, Madrid, Spain., Teresa Pérez Mencía, Felipe Villar Alvarez, Báez Yolanda Laporta YL, Gloria María Santos Pérez, and Andrés López García.
    • Department of Anesthesiology, Hospital de Madrid, Madrid, Spain.
    • Saudi J Anaesth. 2013 Jan 1; 7 (1): 90-2.

    AbstractMyasthenia gravis (MG) is an autoimmune disease with an incidence of 2-10/100,000 cases per year, characterized by muscle weakness secondary to destruction of postsynaptic acetylcholine receptors. In these patients, important perioperative issues remain unresolved, namely, optimal administration of cholinesterase inhibitors, risks of regional anesthesia, and prediction of need of postoperative mechanical ventilation. We describe the use of a low-dose spinal anesthesia in a patient with MG who was submitted for emergence exploratory laparotomy. The utilization of low-dose spinal anesthesia allowed us to perform surgery with no adverse respiratory or cardiovascular events in this patient.

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