Anesthetic considerations for a patient with myasthenia gravis undergoing deep sedation in an outpatient oral surgery setting.
Shamit S PrabhuSaad A KhanAlexander L DoudnikoffUday N ReebyePublished in: Journal of dental anesthesia and pain medicine (2019)
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.
Keyphrases
- myasthenia gravis
- case report
- minimally invasive
- coronary artery bypass
- end stage renal disease
- ejection fraction
- newly diagnosed
- systematic review
- peritoneal dialysis
- surgical site infection
- prognostic factors
- mechanical ventilation
- patients undergoing
- resistance training
- physical activity
- sleep quality
- drug induced
- body composition
- high intensity