General Anesthesia Using Supraglottic Airway Device in a Myasthenic Patient Undergoing Reverse Shoulder Arthroplasty

Kamath, Shaila S and Misquith, Julie C. R. (2018) General Anesthesia Using Supraglottic Airway Device in a Myasthenic Patient Undergoing Reverse Shoulder Arthroplasty. Anesthesia: Essays and Researches, 12 (2). pp. 598-600. ISSN 0259-1162

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Abstract

Myasthenia gravis (MG) is a neuromuscular disorder characterized by weakness and fatigability of skeletal muscles. The decrease in the number of acetylcholine receptors results in decreased efficiency of neuromuscular transmission. Although acetylcholine is released normally, it produces small end‑plate potentials that fail to trigger muscle action potentials. Failure of transmission at many neuromuscular junctions results in weakness of muscle contraction. This also makes them susceptible to neuromuscular blocking agents which pose a challenge to the anesthesiologist. Here, we report a case of a patient who was a known case of MG posted for reverse shoulder arthroplasty, who was managed using a supraglottic airway device and spontaneous respiration.

Item Type: Article
Uncontrolled Keywords: Acetylcholine receptor, beach chair position, muscle relaxants, neuromuscular transmission, supraglottic airway device
Subjects: Medicine > KMC Mangalore > Anaesthesiology
Depositing User: KMCMLR User
Date Deposited: 21 Jun 2018 09:56
Last Modified: 21 Jun 2018 09:56
URI: http://eprints.manipal.edu/id/eprint/151318

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