Anesthetic management of robot-assisted thoracoscopic thymectomy
Myasthenia gravis (MG) is a rare disorder involving neuromuscular junction. In conjunction with medical therapy, thymectomy is a known modality of treatment of MG and has shown to increase the probability of remission and overall symptomatic improvement. For minimally invasive thymectomy, video-.ass...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5009852/ https://www.ncbi.nlm.nih.gov/pubmed/27625494 http://dx.doi.org/10.4103/0970-9185.168207 |
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author | Karlekar, Anil Dutta, Devesh Saxena, Ravindra Sharma, Krishna Kant |
author_facet | Karlekar, Anil Dutta, Devesh Saxena, Ravindra Sharma, Krishna Kant |
author_sort | Karlekar, Anil |
collection | PubMed |
description | Myasthenia gravis (MG) is a rare disorder involving neuromuscular junction. In conjunction with medical therapy, thymectomy is a known modality of treatment of MG and has shown to increase the probability of remission and overall symptomatic improvement. For minimally invasive thymectomy, video-.assisted thoracoscopic surgery has been the preferred surgical approach till recently. The robotic surgical procedure must necessarily bring new challenges to the anesthesiologists to effectively meet the specific requirements of the technique. At present, there is a paucity of literature regarding the anesthetic concerns of robotic assisted thymectomy, patient in question specifically posed a challenge since different maneuvers and techniques had to be tried to obtain optimum surgical conditions with stable ventilatory and hemodynamic parameters. Concerns of patient positioning and hemodynamic monitoring have also been discussed. |
format | Online Article Text |
id | pubmed-5009852 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-50098522016-09-13 Anesthetic management of robot-assisted thoracoscopic thymectomy Karlekar, Anil Dutta, Devesh Saxena, Ravindra Sharma, Krishna Kant J Anaesthesiol Clin Pharmacol Case Report Myasthenia gravis (MG) is a rare disorder involving neuromuscular junction. In conjunction with medical therapy, thymectomy is a known modality of treatment of MG and has shown to increase the probability of remission and overall symptomatic improvement. For minimally invasive thymectomy, video-.assisted thoracoscopic surgery has been the preferred surgical approach till recently. The robotic surgical procedure must necessarily bring new challenges to the anesthesiologists to effectively meet the specific requirements of the technique. At present, there is a paucity of literature regarding the anesthetic concerns of robotic assisted thymectomy, patient in question specifically posed a challenge since different maneuvers and techniques had to be tried to obtain optimum surgical conditions with stable ventilatory and hemodynamic parameters. Concerns of patient positioning and hemodynamic monitoring have also been discussed. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5009852/ /pubmed/27625494 http://dx.doi.org/10.4103/0970-9185.168207 Text en Copyright: © Journal of Anaesthesiology Clinical Pharmacology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Karlekar, Anil Dutta, Devesh Saxena, Ravindra Sharma, Krishna Kant Anesthetic management of robot-assisted thoracoscopic thymectomy |
title | Anesthetic management of robot-assisted thoracoscopic thymectomy |
title_full | Anesthetic management of robot-assisted thoracoscopic thymectomy |
title_fullStr | Anesthetic management of robot-assisted thoracoscopic thymectomy |
title_full_unstemmed | Anesthetic management of robot-assisted thoracoscopic thymectomy |
title_short | Anesthetic management of robot-assisted thoracoscopic thymectomy |
title_sort | anesthetic management of robot-assisted thoracoscopic thymectomy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5009852/ https://www.ncbi.nlm.nih.gov/pubmed/27625494 http://dx.doi.org/10.4103/0970-9185.168207 |
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