ABSTRACT : Optimal Perioperative Management Of Myasthenia Gravis Patients Undergoing Thymectomy

Abstract: Patients with myasthenia gravis have specific clinical problems that must be addressed by the anesthesiologist when surgery is contemplated. Optimal perioperative management of myasthenia gravis patients undergoing thymectomy requires careful preoperative assessment and preparation. This assessment and preparation includes evaluation for concomitant autoimmune, respiratory, and cardiac disorders as well as optimization of medical management for myasthenia. There are important intraoperative concerns to be addressed including appropriate monitoring, premedication, and other agents used during surgery including muscle relaxants and anesthetic agents. Postoperatively, attention must be directed specifically to pain relief, ventilatory management, and the appropriate titration of reversal agents and anticholinesterase inhibitors. Optimal management of all these factors maximizes the chance for successful and uncomplicated hospitalization.

Key words: Myasthenia Gravis; thymectomy; anaesthetic management Clinical presentation: myasthenia is a autoimmune disease with neuromuscular involvment

Case management: A balanced anaesthetic management is required to have a speedy recovery

Outcome: depending upon the perioperative management 1: Post Graduate in Anaesthesiology;2.Head of Anaesthesia department 3: Head of Cardiac Anaesthesia

Results : Optimal AnaestheticManagment Required For A Good Recovery

Conclusions : Perioperative Care Must Be Good For A Optimal And Rapid Recovery