Perioperative management of a patient with myasthenia gravis: a case report, treatment of myasthenic crisis and literature review

Surgical intervention, such as thymectomy, and a comprehensive approach to the treatment of patients with myasthenia gravis can improve the quality and duration of their lives. At the same time, perioperative management should be carefully selected. These patients require attention because of the ri...

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Main Authors: O.Yu. Usenko, A.V. Sydiuk, O.Ye. Sydiuk, V.V. Antonenko, G.Yu. Savenko, O.T. Teslia, А.А. Dykan, S.I. Chechil
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2025-04-01
Series:Медицина неотложных состояний
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Online Access:https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1854
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author O.Yu. Usenko
A.V. Sydiuk
O.Ye. Sydiuk
V.V. Antonenko
G.Yu. Savenko
O.T. Teslia
А.А. Dykan
S.I. Chechil
author_facet O.Yu. Usenko
A.V. Sydiuk
O.Ye. Sydiuk
V.V. Antonenko
G.Yu. Savenko
O.T. Teslia
А.А. Dykan
S.I. Chechil
author_sort O.Yu. Usenko
collection DOAJ
description Surgical intervention, such as thymectomy, and a comprehensive approach to the treatment of patients with myasthenia gravis can improve the quality and duration of their lives. At the same time, perioperative management should be carefully selected. These patients require attention because of the risk of developing a myasthenic crisis and a complicated recovery from it. Specific attention and care are paid to the administration of any medications, especially neuromuscular blocking agents. Patients with myasthenia gravis, having a pathology of acetylcholine receptors, are unexpec-tedly sensitive to non-depolarising neuromuscular blocking agents and resistant to depolarising succinylcholine.
format Article
id doaj-art-40ba4db26a274f1d9c21da4e4b74ed9f
institution Matheson Library
issn 2224-0586
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language English
publishDate 2025-04-01
publisher Zaslavsky O.Yu.
record_format Article
series Медицина неотложных состояний
spelling doaj-art-40ba4db26a274f1d9c21da4e4b74ed9f2025-07-26T14:42:42ZengZaslavsky O.Yu.Медицина неотложных состояний2224-05862307-12302025-04-0121218919810.22141/2224-0586.21.2.2025.18541854Perioperative management of a patient with myasthenia gravis: a case report, treatment of myasthenic crisis and literature reviewO.Yu. Usenko0https://orcid.org/0000-0001-8074-1666A.V. Sydiuk1https://orcid.org/0000-0001-7325-7104O.Ye. Sydiuk2https://orcid.org/0000-0001-8522-7121V.V. Antonenko3https://orcid.org/0000-0003-2395-4563G.Yu. Savenko4https://orcid.org/0000-0002-8454-1992O.T. Teslia5https://orcid.org/0000-0001-9119-0177А.А. Dykan6https://orcid.org/0009-0005-3877-4137S.I. Chechil7https://orcid.org/0009-0004-8084-4349National Scientific Center of Surgery and Transplantology named after O.O. Shalimov of NAMSU, Kyiv, UkraineNational Scientific Center of Surgery and Transplantology named after O.O. Shalimov of NAMSU, Kyiv, UkraineNational Scientific Center of Surgery and Transplantology named after O.O. Shalimov of NAMSU, Kyiv, UkraineNational Scientific Center of Surgery and Transplantology named after O.O. Shalimov of NAMSU, Kyiv, UkraineNational Scientific Center of Surgery and Transplantology named after O.O. Shalimov of NAMSU, Kyiv, UkraineNational Scientific Center of Surgery and Transplantology named after O.O. Shalimov of NAMSU, Kyiv, UkraineNational Scientific Center of Surgery and Transplantology named after O.O. Shalimov of NAMSU, Kyiv, UkraineNational Scientific Center of Surgery and Transplantology named after O.O. Shalimov of NAMSU, Kyiv, UkraineSurgical intervention, such as thymectomy, and a comprehensive approach to the treatment of patients with myasthenia gravis can improve the quality and duration of their lives. At the same time, perioperative management should be carefully selected. These patients require attention because of the risk of developing a myasthenic crisis and a complicated recovery from it. Specific attention and care are paid to the administration of any medications, especially neuromuscular blocking agents. Patients with myasthenia gravis, having a pathology of acetylcholine receptors, are unexpec-tedly sensitive to non-depolarising neuromuscular blocking agents and resistant to depolarising succinylcholine.https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1854myasthenia gravismyasthenic crisisthoracoscopic thymectomyselection of left-sided double-lumen endobronchial tubeanaesthetic support
spellingShingle O.Yu. Usenko
A.V. Sydiuk
O.Ye. Sydiuk
V.V. Antonenko
G.Yu. Savenko
O.T. Teslia
А.А. Dykan
S.I. Chechil
Perioperative management of a patient with myasthenia gravis: a case report, treatment of myasthenic crisis and literature review
Медицина неотложных состояний
myasthenia gravis
myasthenic crisis
thoracoscopic thymectomy
selection of left-sided double-lumen endobronchial tube
anaesthetic support
title Perioperative management of a patient with myasthenia gravis: a case report, treatment of myasthenic crisis and literature review
title_full Perioperative management of a patient with myasthenia gravis: a case report, treatment of myasthenic crisis and literature review
title_fullStr Perioperative management of a patient with myasthenia gravis: a case report, treatment of myasthenic crisis and literature review
title_full_unstemmed Perioperative management of a patient with myasthenia gravis: a case report, treatment of myasthenic crisis and literature review
title_short Perioperative management of a patient with myasthenia gravis: a case report, treatment of myasthenic crisis and literature review
title_sort perioperative management of a patient with myasthenia gravis a case report treatment of myasthenic crisis and literature review
topic myasthenia gravis
myasthenic crisis
thoracoscopic thymectomy
selection of left-sided double-lumen endobronchial tube
anaesthetic support
url https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1854
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