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Canadian Journal of Anesthesia, Vol 11, 297-306, Copyright © 1964 by Canadian Anesthesiologists' Society

Management of the Patient with Myasthenia Gravis for Thymectomy

LEONARD C JENKINS BA, MD, CM, FRCP (C)1, JONE CHANG MD, FRCP (C)1, and HORACE B GRAVES BA, MD, CM, FRCP (C)

1 Department of Surgery (Sub-section Anaesthesiology), Vancouver General Hospital, and the Faculty of Medicine, University of British Columbia, Vancouver, British Columbia

A method of management of myasthema gravis patients for thymectomy has been presented Preoperative preparation, conduct of of anaesthesia, and care in the postoperative period is discussed Emphasis has been placed on assesment and management of respiratory insufficiency and avoidance of anticholinesterase treatment in the immediate and early postoperative recovery period this eliminated the all too common hazard of "chohnergic crisis" The results, suggesting a reduction m operative mortality and morbidity, have beendiscussed

Note:

Presented in part at the Annual Meeting, Royal College of Physicians and Surgeons, Canada, Quebec City, January 17, 1964






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Copyright © 1964 by the Canadian Anesthesiologists' Society.