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...

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Autores principales: Karlekar, Anil, Dutta, Devesh, Saxena, Ravindra, Sharma, Krishna Kant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
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.
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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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