Abstract
Robotic surgeries are popular for their enhanced perioperative outcomes and are performed under balanced anaesthesia with muscle relaxants to ensure minimal patient movement. However, in patients with myasthenia gravis, the use of muscle relaxants during surgery can exacerbate muscle weakness and respiratory issues. Thus, performing a thymectomy without muscle relaxants may be a safer option in such cases, albeit more technically challenging. A case of a 70-year-old male with myasthenia gravis undergoing robotic thymectomy without the use of non-depolarising muscle relaxants. The anaesthesia management involved multimodal analgesia with ketamine, lignocaine, epidural local anaesthetic infusions and meticulous monitoring to ensure patient safety and optimal surgical conditions. This case serves to demonstrate the feasibility of conducting a robotic thymectomy procedure without the use of muscle relaxants, thereby paving the way for its potential application in patients with severe myasthenia gravis.
Published Version
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