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The use of an ultrasound-guided popliteal block for hallux valgus surgery in a patient with myasthenia gravis (CROSBI ID 694594)

Prilog sa skupa u časopisu | sažetak izlaganja sa skupa | međunarodna recenzija

Kristek, Gordana ; Haršanji Drenjančević, Ivana ; Kvolik, Slavica ; Gulam, Danijela ; Ružman, Tomislav The use of an ultrasound-guided popliteal block for hallux valgus surgery in a patient with myasthenia gravis // Periodicum biologorum. 2013. str. 30-30

Podaci o odgovornosti

Kristek, Gordana ; Haršanji Drenjančević, Ivana ; Kvolik, Slavica ; Gulam, Danijela ; Ružman, Tomislav

engleski

The use of an ultrasound-guided popliteal block for hallux valgus surgery in a patient with myasthenia gravis

Background and purpose: Myasthenia gravis (MG) is an autoimmune disease which affects neuromuscular transmission, causing muscle fatigue and weakness. The myasthenic patients are always a challenge to the anesthesiologist, because they demonstrate various responses to the neuromuscular blocking agents. The postoperative risk of respiratory failure has always been a matter of concern. There is a lack of controlled studies in these patients, concerning anesthetic management under regional anesthesia. Some case reports suggest precaution in using neuroaxial anesthesia techniques and tourniquet because of possible exacerbation of myasthenia gravis. Case report: We report a successful use of the ultrasound guided popliteal block for elective foot surgery in a 46- year old woman with MG, showing that regional anesthesia techniques, by avoiding the use of neuromuscular blocking agents, provide safer care for these patients. Results and conclusion: At 24h postoperative interview, both patients were very satisfied with the anesthesiologist treatment, and no complications occured.

myasthenia gravis, ultrasound-guided popliteal block, hallux valgus surgery

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Podaci o prilogu

30-30.

2013.

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objavljeno

Podaci o matičnoj publikaciji

Periodicum biologorum

Zagreb:

0031-5362

1849-0964

Podaci o skupu

5 th INTERNATIONAL SYMPOSIUM ON REGIONAL ANAESTHESIA AND PAIN THERAPY

poster

14.06.2013-15.06.2013

Zagreb, Hrvatska

Povezanost rada

Kliničke medicinske znanosti