Volume : IX, Issue : II, February - 2019

Video Assisted Thoracoscopic Thymectomy - An Anaesthetic Challenge

Dr. Ranjith Kachakayala

Abstract :

Myasthenia Gravis is an autoimmune disease characterized by progressive weakness of skeletal muscles with improvement following rest. The incidence is 50–142/million population with a female preponderance. We report a case of a 34 year male – diagnosed as Myasthenia Gravis who was receiving the treatment, was investigated in details and optimized. He was posted for right mediastinoscopic excision of thymoma. General Anaesthesia with one lung ventilation was planned. Thoracic epidural catheter was inserted for intraoperative and post–operative analgesia. One Lung Ventilation was achieved with left sided Double Lumen Tube (DLT) for better visualization of the operative field. Intraoperative haemodynamics were maintained using Isoflurane and Epidural top–ups of Local Anaesthetics. After completion of the surgery, (right lung was re–inflated) patient was extubated on table. Patient was shifted to post operative surgical unit. He was haemodynamically stable post– operatively and was eventually shifted to the wards on the 3rd post–op day

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

VIDEO ASSISTED THORACOSCOPIC THYMECTOMY - AN ANAESTHETIC CHALLENGE, Dr. Ranjith Kachakayala INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-2 | February-2019

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