Multivariate determinants of the need for postoperative ventilation in myasthenia gravis

Myasthenia gravis and pregnancy: anaesthetic management – a series of cases

“…In pregnant women, functional pulmonary examination is advisable if there is no remission of the disease prior to labour. 2,18 An adequate control of labour pain is essential to reduce the number of caesarean sections and distocic vaginal delivery rates, as myasthenia gravis can affect the second stage of delivery because striate muscles are involved and fatigability can contribute to respiratory distress. 2,3,10 In patients with controlled disease, vaginal delivery is the reference method.…”

Laryngeal Mask Airway insertion with total intravenous anesthesia for transsternal thymectomy in patients with myasthenia gravis: report of 5 cases

“…Administration of anticholinesterase was terminated only on the morning of surgery, and no premedication was administered to our patients. Use of plasmapheresis, less invasive surgery, and avoidance of neuromuscular blockers and anesthetics with a prolonged duration of action have been suggested as factors that decrease the risk of postoperative respiratory insufficiency in thymectomized patients [11]. The need for postoperative mechanical ventilation has been reported in 23% of patients who underwent transsternal thymectomy [11].…”

Myasthenia gravis: Anaesthetic implications and considerations-a report of two cases

“…These tests may be necessary as a reference to determine the optimal conditions for extubation postoperatively as well as the need for postoperative mechanical ventilation. 3,4 The patient should be thoroughly evaluated for other associated autoimmune diseases. A chest X ray is indicated to determine the presence of aspiration or other pneumonias, which commonly occur in patients with MG. A CT scan or magnetic resonance imaging ( MRI) is indicated to detect thymoma.…”