Håndtering af det perioperative forlöb for patienter med myasthenia gravis
Engelsk titel: The perioperative management of myasthenia gravis patients
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Författare:
Lind Kristensen, Mette
;
Gätke, Mona Ring
Email: mette.lind.kristensen@regionh.dk
Språk: Dan
Antal referenser: 28
Dokumenttyp:
Översikt
UI-nummer: 14127614
Sammanfattning
Myasthenia gravis (MG) is a disease affecting the acetylcholine receptor in the neuromuscular junction. Symptoms of MG are muscle weakness and fatigue. Anaesthesia and operation to MG
patients need collaboration among the MG patients’ health-care professionals. It is recommended that pyridostigmine is continued on the day of surgery. Most anaesthetic drugs are well tolerated by
MG patients, but benzodiazepines and opiates may only be used with caution. For neuromuscular blockade rocuronium seems to be the best choice as it can be antagonized with sugammadex at end
of the surgical procedure.