Sugammadex use in a patient with myastenia gravis
Journal Title: Ege Tıp Dergisi - Year 2016, Vol 55, Issue 2
Abstract
Myastenia gravis is an autoimmune disease involving the neuromuscular junction and patients receiving this diagnosis have a risk of developing postoperative respiratory failure. Similarly, the presence of chronic obstructive lung disease is known to be associated with postoperative respiratory failure. However, steroidal non-depolarising muscle relaxants and sugammadex to reverse their muscle-relaxing effects minimize the risk of postoperative respiratory failure. In this case report, we wanted to present a successful application of general anesthesia with rocuronium for emergency laparotomy in a patient with myasthenia gravis and chronic obstructive pulmonary disease in whom postoperative respiratory failure could be prevented by using sugammadex.
Authors and Affiliations
Ebru Biricik
Charcot-Marie-Tooth disease and bilateral abducens nerve palsy
Charcot-Marie-Tooth (CMT) disease is the most common hereditary degenerative disorder of the peripheral nervous system. It is generally inherited in an autosomal dominant pattern. Clinical diagnosis is based on family hi...
Hashimoto’s encephalopathy: Report of two cases
Hashimoto’s encephalopathy is a disease considered to derive from an autoimmune etiology, associated with anti-thyroid auto-antibodies. Clinical manifestations may include acute or latent conditions. The disease is diagn...
Rice bodies at bilateral subacromial bursa
Rice bodies with synovial origin look like cartilagie and they are usually composed of fibrin. Tuberculosis, rheumatoid arthritis or other seronegative arthropathies may be the etiology. In this report, a 48-year-old wom...
Delirium and tremor associated with ertapenem treatment
Though seizures are the most commonly reported neurotoxic adverse effects of ertapenem, there are numerous other side effects including hallucinations, disorientation, and tremors which are hardly ever reported. These si...
Viral agents in patients with central nervous infections admitted to Ege University Hospital
Aim: Central Nervous system (CNS) infections require a rapid diagnosis and treatment approach due to their potential of rapid progression and the possibility of permanent neurological damage. In this study, viral agents...