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KMID : 0356919920250051019
Korean Journal of Anesthesiology
1992 Volume.25 No. 5 p.1019 ~ p.1022
Anesthetic Experience for thymectomy in the Patient with Myasthenia Gravis Assoicatied with Thymoma


Abstract
Efforts from various approaches have been made to anesthetize myasthenic patients associated with thymoma and, on a choice of kinds and dosage of the muscle relaxants, there were considerable solicitude of the anesthesiologist.
In recent years, intermediate acting none depolarizing muscle relaxants were developed and it's use tends to increase. We used with the divided dose administration of small amount vecuronium and observed the degree of relaxation using peripheral
nerve
stimulator for endotracheal intubation and maintenance of anesthesia.
On the basis of our experience, we would like to recommand techniques that administrate the divided dose of small amount vecuronium as a muscle relaxant and use peripheral nerve stimulator during general anesthesia.
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