Anesthetic Management of Direct Laryngoscopy and Dilatation of Subglottic Stenosis in a Patient with Severe Myasthenia Gravis
Joint Authors
Elsharkawy, Hesham A.
Galway, Ursula
Source
Case Reports in Anesthesiology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-02
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
We describe the anesthetic management of a patient with severe myasthenia gravis and tracheal stenosis; the patient was scheduled for direct laryngoscopy and dilatation.
The combination of myasthenia gravis and tracheal obstruction presents several difficulties for anesthetic management.
The airway is shared; therefore, any complications are also shared by the anesthesiologist and bronchoscopists.
The potential for respiratory compromise in patients undergoing the two procedures requires that anesthesiologists be familiar with the underlying disease state, as well as the interaction of anesthetic and nonanesthetic drugs in a case involving myasthenia gravis.
We reviewed the literature and report our experience in this case.
There is no strong evidence for choosing one approach to general anesthesia over another for bronchoscopy.
Careful preoperative planning and experience in airway management and jet ventilation are crucial to prevent an adverse outcome and obtain favorable results.
American Psychological Association (APA)
Elsharkawy, Hesham A.& Galway, Ursula. 2012. Anesthetic Management of Direct Laryngoscopy and Dilatation of Subglottic Stenosis in a Patient with Severe Myasthenia Gravis. Case Reports in Anesthesiology،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-455418
Modern Language Association (MLA)
Elsharkawy, Hesham A.& Galway, Ursula. Anesthetic Management of Direct Laryngoscopy and Dilatation of Subglottic Stenosis in a Patient with Severe Myasthenia Gravis. Case Reports in Anesthesiology No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-455418
American Medical Association (AMA)
Elsharkawy, Hesham A.& Galway, Ursula. Anesthetic Management of Direct Laryngoscopy and Dilatation of Subglottic Stenosis in a Patient with Severe Myasthenia Gravis. Case Reports in Anesthesiology. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-455418
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-455418