Anesthesia For Myasthenia Gravis

Description

Myasthenia Gravis (MG) is an autoimmune disease characterized by weakness andfatigability of skeletal muscles, with improvement following rest.Myasthenia gravis is a disease with many implications for the safe administration of anesthesia. The potential for respiratory compromise in these patients requires the anesthesiologist to be familiar with the underlying disease state, as well as the interaction of anesthetic and nonanesthetic drugs with myasthenia gravis.The anaesthetic management of the myasthenic patient must be individualized to the severity of the disease and the type of surgery. The use of regional or local anaesthesia seems warranted whenever possible. General anaesthesia can be performed safely, provided the patient is optimally prepared and neuromuscular transmission is adequately monitored during and after surgery.