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
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