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Thoracic epidural anaesthesia and analgesia with bupivacaine for transsternal thymectomy for myasthenia gravis

Published online by Cambridge University Press:  12 September 2006

N. Akpolat ,
H. Tilgen ,
F. Gürsoy ,
S. Saydam  and
A. Gürel
N. Akpolat
Affiliation:
Department of Anaesthesiology, Faculty of Medicine, Inönü University, Malatya, Turkey
H. Tilgen
Affiliation:
Department of Anaesthesiology, Faculty of Medicine, Inönü University, Malatya, Turkey
F. Gürsoy
Affiliation:
Department of Anaesthesiology, Faculty of Medicine, Inönü University, Malatya, Turkey
S. Saydam
Affiliation:
Department of Anaesthesiology, Faculty of Medicine, Inönü University, Malatya, Turkey
A. Gürel
Affiliation:
Department of Anaesthesiology, Faculty of Medicine, Inönü University, Malatya, Turkey
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Abstract

The present study describes the management of a myasthenic patient undergoing transsternal thymectomy for whom thoracic epidural anaesthesia using 15 mL of bupivacaine 0.5% combined with isoflurane 0.4% and nitrous oxide in oxygen 50% provided good intra-operative relaxation followed by an uneventful recovery and eliminated the need for other post-operative analgesics.

Keywords

anaesthetic techniquethoracic epiduralgeneralautoimmune diseasemyasthenia gravissurgerytranssternal thymectomy
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 14 , Issue 2 , March 1997 , pp. 220 - 223
Copyright
1997 European Society of Anaesthesiology

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