Anaesthetic Management of a Patient with Myasthenia Gravis for Laparascopic Cholecystectomy: A Case ReportCorrespondence Address :
Dr. Jaya Choudhary,
Medica Superspecialty Hospital, 127, Mukundapur, E M Bypass, Kolkata-700099, West Bengal, India.
Myasthenia gravis is an autoimmune disease, which presents as fatigue and muscle weakness due to destruction of nicotinic receptors. Perioperative management of such patients is challenging due to altered pharmacology of drugs especially muscle relaxants and opioids as well as high incidence of postoperative respiratory complications. Here, authors report a new anaesthetic technique for avoiding muscle relaxants and opioids in a myasthenia gravis patient using a combination of total intravenous anaesthesia with bilateral subcostal Transverses Abdominis Plane (TAP) block.
Dexmedetomidine, Muscle relaxants, Subcostal transversus abdominis plane block
Jaya Choudhary, Aaditya Prabhudesai, Anshika Agarwal. ANAESTHETIC MANAGEMENT OF A PATIENT WITH MYASTHENIA GRAVIS FOR LAPARASCOPIC CHOLECYSTECTOMY: A CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2019 September [cited: 2019 Sep 18 ]; 13:UD03-UD04. Available from
Date of Submission: Jul 01, 2019
Date of Peer Review: Aug 06, 2019
Date of Acceptance: Aug 12, 2019
Date of Publishing: Sep 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)