Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Literature on anesthetic management of juvenile myasthenia gravis (JMG) for thymectomy is limited. Recently, use of inhalational agents and total intravenous anesthesia with propofol and remifentanyl has been reported. All these techniques individually or in combination have been tried to avoid the use of muscle relaxant. We report successful use of sevoflurane as sole anesthetic agent for intubation and in combination with thoracic epidural anesthesia for intraoperative anesthetic management in a 5-year-old child with JMG.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009656PMC
http://dx.doi.org/10.4103/0970-9185.130088DOI Listing

Publication Analysis

Top Keywords

thoracic epidural
8
epidural anesthesia
8
juvenile myasthenia
8
myasthenia gravis
8
anesthetic management
8
sevoflurane thoracic
4
anesthesia trans-sternal
4
trans-sternal thymectomy
4
thymectomy child
4
child juvenile
4

Similar Publications

The highly variable clinical presentations of sciatica, combined with cognitive biases, often lead to misattribution of the underlying pathology responsible for patient symptoms. Such limitations can contribute to significant diagnostic delays. Prioritizing systematic evaluation and maintaining vigilance against biases are critical for ensuring timely diagnosis and improving patient outcomes.

View Article and Find Full Text PDF

Background: This study aimed to develop and validate the first nomogram model for predicting postoperative complications in thoracic spinal stenosis (TSS) patients undergoing unilateral biportal endoscopy (UBE), integrating multidimensional risk factors to provide a quantitative basis for preoperative risk evaluation and individualized treatment planning.

Methods: Patients were divided into a retrospective training cohort ( = 375) and a prospective validation cohort ( = 100). Baseline clinical data [age, diabetes, preoperative Japanese Orthopaedic Association (JOA) score], radiographic parameters (Spinal cord/canal area (SC/ECA) ratio, intramedullary high signal, thoracic kyphosis (TK) angle), and surgical variables (intraoperative blood loss, number of lesion segments, dural adhesion, etc.

View Article and Find Full Text PDF

Background: It is crucial to assess a patient's quality of recovery after major surgery. This study aims to compare the effect of neuraxial morphine and bilateral erector spinae plane block on quality of recovery in the first 48 postoperative hours in patients undergoing open upper abdominal surgeries.

Methods: This prospective, triple-arm, randomized study was performed to compare the effect of neuraxial morphine (intrathecal morphine, thoracic epidural) and erector spinae plane block on postoperative recovery.

View Article and Find Full Text PDF

Background: Chest physiotherapy and incentive spirometry, essential for pulmonary care, can exacerbate acute post-thoracotomy pain. Pain relief is, therefore, essential to facilitate early mobilization. This study evaluated the analgesic efficacy of unilateral continuous erector spinae block (ESB) compared to thoracic epidural analgesia (TEA) in terms of quality of pain relief and perioperative hemodynamic changes.

View Article and Find Full Text PDF

Background: Patients with connective tissue disorders (CTDs), such as Ehlers-Danlos syndrome, can present unique challenges in the management of spinal pathology and procedural complications due to underlying tissue fragility and susceptibility to dural ruptures. Thus, there is a need for less invasive diagnostic and therapeutic care in this population.

Case Report: We present a case of a 48-year-old woman with joint hypermobility who developed acute-on-chronic back pain and radicular symptoms.

View Article and Find Full Text PDF