Open AccessPerioperative management of myasthenia gravis patient for off pump coronary artery bypass surgery and thymectomy
Author(s) -
Amarja Sachin Nagre,
Abhijeet Kabade,
Milind Chaudhari
Publication year - 2022
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_273_20
Subject(s) - medicine , myasthenia gravis , thymectomy , perioperative , anesthesia , anesthetic , coronary artery disease , neuromuscular blocking agents , coronary artery bypass surgery , artery , surgery , cardiology
Myasthenia gravis (MG) is an autoimmune disorder characterized by antibody-mediated immunologic reaction striking the acetylcholine receptors. The anesthesia concerns for patients with MG include the disease state, drug interactions, and the anesthetic medications particularly the neuromuscular blocking agents (NMBAs). The anesthesia management in these patients is meticulous and requires appropriate execution of knowledge. Besides, such patient for off-pump coronary artery bypass surgery is quite uncommon; hence, we report this case.