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Laparoscopic Sleeve Gastrectomy in a Morbidly Obese Patient with Myasthenia Gravis: A Review of the Management
Joint Authors
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Myasthenia gravis, a disorder of neuromuscular transmission, presents a unique challenge to the perioperative anesthetic management of morbidly obese patients.
This report describes the case of a 27-year-old morbidly obese woman with a past medical history significant for myasthenia gravis and fatty liver disease undergoing bariatric surgery.
Anesthesia was induced with intravenous agents and maintained with an inhalational and balanced intravenous technique.
The nondepolarizing neuromuscular blocker Cisatracurium was chosen so that no reversal agents were given.
Neostigmine was not used to antagonize the effects of Cisatracurium.
The goal of this approach was to reduce the risk of complications such as postoperative mechanical ventilation.
The anesthetic and surgical techniques used resulted in an uneventful hospital course.
Therefore, we can minimize perioperative risks and complications by adjusting the anesthetic plan based on the patient’s physiology and comorbidities as well as the pharmacology of the drugs.
American Psychological Association (APA)
Ballal, Megana& Straker, Tracey. 2015. Laparoscopic Sleeve Gastrectomy in a Morbidly Obese Patient with Myasthenia Gravis: A Review of the Management. Case Reports in Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058875
Modern Language Association (MLA)
Ballal, Megana& Straker, Tracey. Laparoscopic Sleeve Gastrectomy in a Morbidly Obese Patient with Myasthenia Gravis: A Review of the Management. Case Reports in Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058875
American Medical Association (AMA)
Ballal, Megana& Straker, Tracey. Laparoscopic Sleeve Gastrectomy in a Morbidly Obese Patient with Myasthenia Gravis: A Review of the Management. Case Reports in Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058875
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058875