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Postoperative Respiratory Failure in a Patient with Undiagnosed Myastenia Gravis
Funda Özel1, Ali Aydın Altunkan1, Mustafa Azizoğlu1
1Department of Anaesthesiology and Reanimation, Mersin University School of Medicine, Mersin, Turkey.
Abstract:
Myasthenia gravis (MG) is an autoimmune disease caused by the development of antibodies against the nicotinic acetylcholine receptor. There is hypersensitivity against non-depolarizing muscle relaxants in these patients. Sugammadex eliminates the effects of steroid non-depolarizing muscle relaxants, such as rocuronium and vecuronium, by selectively encapsulating their molecules. In this case report, we present a case of recurarization and respiratory failure after the use of sugammadex and rocuronium in a patient with preoperatively undiagnosed myasthenia gravis.
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