Anesthetic Management of Thymectomy in a patient with Thymoma with Myasthenia Gravis - A Case Report

Dr. Chetan Murlidhar Deulkar | Dr. Lulu Fatema Vali

Abstract: A 32 - year - old male with MG was scheduled for thymectomy. General anesthesia was induced and maintained with mainly propofol, fentanyl and midazolam. We administered the minimum necessary dose of atracurium while closely monitoring the train - of - four (TOF) response when a neuromuscular relaxant was required. Patient was extubated after 6 hrs of ventilation post - surgery. Postoperative analgesia was performed by a continuous thoracic epidural infusion of bupivacaine and tramadol.

Keywords: TOF - Train of Four, MG - Myasthenia Gravis, TIVA - Total intravenous anesthesia, TEA - Thoracic epidural anesthesia, AChR - Anti - acetylcholine receptor, NMBD - Neuromuscular blocking drugs

Edition: Volume 13 Issue 4, April 2024,

Pages: 509 - 509

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Anesthetic Management of Thymectomy in a patient with Thymoma with Myasthenia Gravis - A Case Report

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