Postoperative ventilatory dependency following thymectomy for myasthenia gravis
| العنوان: | Postoperative ventilatory dependency following thymectomy for myasthenia gravis |
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| المؤلفون: | Maurice R. Hanson, Atul C. Mehta, Delos M. Cosgrove, Edward D. Sivak |
| المصدر: | Cleveland Clinic Journal of Medicine. 51:585-589 |
| بيانات النشر: | Cleveland Clinic Journal of Medicine, 1984. |
| سنة النشر: | 1984 |
| مصطلحات موضوعية: | Adult, Male, Time Factors, Adolescent, medicine.medical_treatment, Postoperative Complications, Myasthenia Gravis, Humans, Medicine, Weaning, Respiratory muscle weakness, Child, Aged, Mechanical ventilation, Hydropneumothorax, business.industry, General Medicine, Middle Aged, Respiration Disorders, Thymectomy, medicine.disease, Respiration, Artificial, Myasthenia gravis, Chest Wall Pain, Pneumonia, Anesthesia, Female, Cholinesterase Inhibitors, business |
| الوصف: | Thymectomy for the treatment of selected patients with myasthenia gravis results in postoperative prolongation of ventilatory support. A retrospective review of 24 patients undergoing the procedure via midline sternotomy revealed that 17 (71%) were weaned from mechanical ventilation within 48 hours. In the remaining patients, chest wall pain and respiratory muscle weakness prolonged ventilatory support to four days while complications of pneumonia in 2 patients and hydropneumothorax in another patient prolonged support beyond four days. Additional observations suggested that choline-esterase inhibitor therapy is necessary to assist in weaning from mechanical ventilation even if this therapy is reduced from preoperative dosages. |
| تدمد: | 1939-2869 0891-1150 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e7f30dea2cadbb0b241d40e9a159c0a9Test https://doi.org/10.3949/ccjm.51.4.585Test |
| رقم الانضمام: | edsair.doi.dedup.....e7f30dea2cadbb0b241d40e9a159c0a9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19392869 08911150 |
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