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Anesthetic considerations for a patient with myasthenia gravis undergoing deep sedation in an outpatient oral surgery setting

Journal of Dental Anesthesia and Pain Medicine 2019³â 19±Ç 1È£ p.67 ~ 72
Prabhu Shamit S., Khan Saad A., Doudnikoff Alexander L., Reebye Uday N.,
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 ( Prabhu Shamit S. ) - Triangle Implant Center
 ( Khan Saad A. ) - Triangle Implant Center
 ( Doudnikoff Alexander L. ) - Triangle Implant Center
 ( Reebye Uday N. ) - Triangle Implant Center

Abstract


Myasthenia gravis (MG) is a neuromuscular autoimmune disorder which clinically presents as muscular weakness and fatigue due to autoantibody formation against acetylcholine receptors (AChR), leading to their subsequent destruction. Due to the neuromuscular implications of MG, certain considerations must be taken into account when providing anesthesia to MG patients. In the following case report, we have outlined procedural considerations for the anesthetic management of a patient with MG undergoing deep sedation for an elective oral surgery in an outpatient setting, as well as a discussion of relevant literature.

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Anesthesia; Myasthenia Gravis; Oral Surgery

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