| Use of non invasive ventilation to avoid re-intubation in myasthenia gravis; a case report and review of literature. | |
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MedLine Citation:
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PMID: 21465951 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Myasthenia Gravis (MG) in the elderly is an uncommon finding, especially when it is not related to thymoma. A case is presented with late onset Myasthenia Gravis treated with steroids, immunosuppressives and mechanical ventilation. This 61 year Asian hypertensive lady clinically diagnosed as MG presented to emergency room with difficulty in swallowing liquid, diplopia, drooping of eyelids and generalized weakness.Within 24 hours in the ward developed respiratory distress and CO2 narcosis, for which she was immediately intubated and shifted to ICU and managed by invasive ventilation and inotropic support. After stabilization and extubation BiPAP was applied successfully. BiPAP use is an established, non invasive ventilation technique for Myasthenia Gravis. Its application to avoid reintubation has not been thoroughly investigated. We intend to highlight this area for further research as it may change the total length of ICU and hospital stay and more importantly the outcome for this subset of patients. |
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Authors:
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Tahir Saeed; Sonal Patel |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: JPMA. The Journal of the Pakistan Medical Association Volume: 61 ISSN: 0030-9982 ISO Abbreviation: J Pak Med Assoc Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-04-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7501162 Medline TA: J Pak Med Assoc Country: Pakistan |
Other Details:
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Languages: eng Pagination: 293-5 Citation Subset: IM |
Affiliation:
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Critical Care Unit, Aga Khan Hospital, Dar-es-Salaam, Tanzania. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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