. 2003; 18(2): 121-123 | |||
Vima Method with Sevoflurane in a Case with Myastenia GravesReyhan Fidan, Esra Sağıroğlu, Ali N. Özçekiç, Melek ÇelikSSK Göztepe Training Hospital, Anesthesiology Department, İstanbulMyasthenia gravis is an autoimmune disease, resulting from the production of antibodies against the acetylcholine receptors of the neuromuscular endplate. These antibodies reduce the active receptors, brought about either by functional block of the receptors, by increased rate of receptor degration, or by complement-mediated lysis. Myasthenic patients are special for anaesthesia. The myasthenic patient may demonstrate an abnormal neuromuscular response to both depolarizing and nondepolarizing muscle relaxans. Volatil induction and maintenance was successfully employed for patients without myo-pathy. Inhalational agents can be used for anaesthetic induction of myasthenics with the advantage of avoiding the use of neuromuscular blocking agents. Miyasteniya Gravis’te Sevofluran ile Vima YöntemiReyhan Fidan, Esra Sağıroğlu, Ali N. Özçekiç, Melek ÇelikSSK Göztepe Eğitim Hastanesi, Anesteziyoloji Kliniği, İstanbulAnahtar Kelimeler: Miyastenia gravis, sevofluran, genel anestezi Reyhan Fidan, Esra Sağıroğlu, Ali N. Özçekiç, Melek Çelik. Vima Method with Sevoflurane in a Case with Myastenia Graves. . 2003; 18(2): 121-123 Corresponding Author: Reyhan Fidan, Türkiye |
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