[Thoracic epidural anesthesia for mammaplasty in myasthenia gravis patient: case report]
Fabiano Timbó Barbosa1, Marta Cristiane Bezerra Correia, Rafael Martins da Cunha
1Unidade de Emergência Armando Lages, Santa Casa de Misericórdia de São Miguel dos Campos, Brazil. fabianotimbo@yahoo.com.br
Background And Objectives:
Myasthenia gravis is a chronic autoimmune disease characterized by skeletal muscles weakness promoted by decreased acetylcholine receptors in the neuromuscular junction. This report aimed at describing a case of myasthenia gravis patient submitted to thoracic epidural anesthesia for cosmetic mammaplasty.
Case Report:
Female patient, 51 years old, with myasthenia gravis and submitted to thoracic epidural anesthesia with bupivacaine and fentanyl. There was no respiratory depression. Patient was discharged 36 hours later.
Conclusions:
Our case suggests epidural anesthesia as a single technique for myasthenia gravis patients, without mandatory tracheal intubation.
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