Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & EMBASE  
     Home | Subscribe | Feedback  

CASE REPORT
[View FULLTEXT] [Download PDF
 
Year : 2001  |  Volume : 47  |  Issue : 4  |  Page : 258-61  

Peri-operative management of patients for video assisted thoracoscopic thymectomy in myasthenia gravis.

M Tripathi, K Srivastava, SK Misra, GD Puri 
 Department of Anaesthesiology and Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. , India

Correspondence Address:
M Tripathi
Department of Anaesthesiology and Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
India

Three patients of myasthenia gravis, who under went video-assisted thoracoscopic surgery (VATS) were given general anaesthesia by propofol infusion and muscle relaxation by atracurium infusion. Isoflurane was added to control depth of anaesthesia on the basis of haemodynamic changes during surgery. One lung ventilation (OLV) was achieved by placement of Carlens left sided double lumen bronchocatheter. Right-sided surgical approach was used to perform thymectomy. Contrary to claimed short duration of surgery, in first patient, OLV lasted for 10 hours 30 minutes and patient developed re-expansion pulmonary oedema. OLV in second and third patient was for six hours thirty minutes and three hours 45 minutes respectively. Morning dose of pyridostigmine was omitted and atracurium (0.1 mg/kg) was found to be satisfactory for intubation and relaxation was maintained with atracurium infusion to get desired monitored effect. We could not extubate our patients due to longer duration of surgery and the sequelae there off. Post-operative elective ventilation and spontaneous weaning off the atracurium effect was thus preferred.


How to cite this article:
Tripathi M, Srivastava K, Misra S K, Puri G D. Peri-operative management of patients for video assisted thoracoscopic thymectomy in myasthenia gravis. J Postgrad Med 2001;47:258-61


How to cite this URL:
Tripathi M, Srivastava K, Misra S K, Puri G D. Peri-operative management of patients for video assisted thoracoscopic thymectomy in myasthenia gravis. J Postgrad Med [serial online] 2001 [cited 2021 Apr 17 ];47:258-61
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2001;volume=47;issue=4;spage=258;epage=61;aulast=Tripathi;type=0


 
Saturday, April 17, 2021
 Site Map | Home | Contact Us | Feedback | Copyright  and disclaimer