The authors after analyzing the importance of theinvolvement of the respiratory muscles of myasthenic patientand his worsening owing to special situations such as fever,pregnancy, surgery, administration of different types of drugsand general anesthesia, focus on survey of five patients cometo their observation. They stress the importance of the severityof the disease and reporting their decisions processes undertakenduring the preoperative clinical evaluation, the conduct ofanesthesia and the postoperative, control shows the resultsobtained.They conclude by stating that the particular sensitivity ofthese patients, related to the impairment of respiratory functionand the possible delayed recovery of the forces, both situationsthat can lead to serious complications and result in death in thecase of an unsuitable or non-targeted anesthetic choice
Gli Autori, dopo avere analizzato l’importanza del coinvolgimentodella muscolatura respiratoria del paziente miastenicoed il suo aggravamento in seguito a particolari situazioniquali stati febbrili, gravidanza, interventi chirurgici nonchèsomministrazione di diverse tipologie di farmaci ed anestesiagenerale, si soffermano su una casistica di cinque pazientiaccorsi alla loro osservazione. Sottolineano l'importanza delgrado di severità della patologia e riportando i percorsi decisionaliintrapresi durante la valutazione clinica preoperatoria,la condotta anestesiologica ed il controllo postoperatorio mettonoin evidenza i risultati ottenuti.Concludono affermando la particolare fragilità di talipazienti, legata alla compromissione della funzione respiratoriaed al possibile ritardato recupero delle forze, situazioni chepossono comportare serie complicanze e residuare in exitus nelcaso di una non idonea o di una non mirata scelta anestesiologica.
Decisions making about anaesthetic conduct in myasthenic patient
LA CAMERA, Giuseppa;
2011-01-01
Abstract
The authors after analyzing the importance of theinvolvement of the respiratory muscles of myasthenic patientand his worsening owing to special situations such as fever,pregnancy, surgery, administration of different types of drugsand general anesthesia, focus on survey of five patients cometo their observation. They stress the importance of the severityof the disease and reporting their decisions processes undertakenduring the preoperative clinical evaluation, the conduct ofanesthesia and the postoperative, control shows the resultsobtained.They conclude by stating that the particular sensitivity ofthese patients, related to the impairment of respiratory functionand the possible delayed recovery of the forces, both situationsthat can lead to serious complications and result in death in thecase of an unsuitable or non-targeted anesthetic choiceFile | Dimensione | Formato | |
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