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

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

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Period biol, Vol 115, Suppl 1, 2013. 30 / - Zagreb, 2013, 30-30

Skup
5 th INTERNATIONAL SYMPOSIUM ON REGIONAL ANAESTHESIA AND PAIN THERAPY

Mjesto i datum
Zagreb, Hrvatska, 14.06.2013. - 15.06.2013

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

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

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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