Avoidance of neuromuscular blockers, combined with depth of anesthesia and neuromuscular monitoring, as well as early postoperative ventilatory support, proved effective in reducing the risk of respiratory complications.
Myasthenia gravis is an autoimmune neuromuscular disorder characterized by fluctuating skeletal muscle weakness and fatigability. Perioperative management is challenging because patients may have bulbar or respiratory muscle involvement and altered sensitivity to neuromuscular blocking agents, increasing the risk of po...
Antireflux surgery may be required in patients with spinal muscular atrophy type 2 (SMA2), but disease-specific experience is limited. To our knowledge, we report the first robot-assisted Nissen fundoplication in SMA2. A 23-year-old woman with severe gastroesophageal reflux disease, bulbar dysfunction, impaired secreti...
M. Wong, Marco Agamennone, Francesca Di Domenicantonio et al.· Frontiers in Surgery· 0 citations
Guillain-Barré syndrome (GBS) is an acute immune-mediated polyradiculoneuropathy associated with peripheral nerve involvement, autonomic dysfunction, and heightened sensitivity to anesthetic agents, making anesthetic technique selection challenging. We report a patient with a prior diagnosis of GBS (axonal variant, acu...
P. P. Kumar, Divya Karwasra, Richa Rijhwani et al.· International Journal of Res...· 0 citations
Patients with longstanding chronic obstructive pulmonary disease are sometimes complicated by emphysematous bullae. These patients pose major challenges during the administration of general anesthesia. Their compromised respiratory reserve due to coexisting restrictive lung pathology puts them at high risk of adverse c...
Ajay Wahi, Vivek Mittal, Amandeep Kaur et al.· Adesh University Journal of...· 0 citations
Background Bronchopleural fistula (BPF) is a serious complication following lung resection, often leading to respiratory failure. In one study of 6,239 patients, 43 (0.65%) developed early BPF, and cases complicated by contralateral pneumonia have rarely been reported. Case Description We present the case of a 74-year-...
Emi Imai, Toshihiro Kikuchi, Eizoh Gondoh et al.· AME Case Reports· 0 citations
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