Anesthetic approach to videolapascopic surgery in patients with myasthenia grav

a case report

Abstract

Myasthenia gravis (MG) is an autoimmune disease characterized by fatigue and weakness of skeletal
muscles, that improve after rest. Its main clinical manifestations are localized weakness of the
ocular muscles (diplopia and ptosis), dysarthria and dysphagia. Thus, it is a disease of great interest
to the anesthesiologist, as it specifically compromises the neuromuscular system. This article seeks
to report a case of a 32-year-old female patient undergoing emergency videolaparoscopy using
total intravenous general anesthesia, using rocuronium for neuromuscular blockade, followed by
complete reversal.