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Case Reports
. 2007 Nov;19(7):543-5.
doi: 10.1016/j.jclinane.2007.01.011.

Exacerbation of myasthenia gravis after tourniquet release

Melissa A Brodsky  1 , Jennifer A Smith
Affiliations
Case Reports

Exacerbation of myasthenia gravis after tourniquet release

Melissa A Brodsky et al. J Clin Anesth. 2007 Nov.

Abstract

By avoiding use of neuromuscular blocking agents, regional anesthesia techniques may allow safer care of patients with myasthenia gravis. We describe a patient who had myasthenic crisis after foot surgery during spinal anesthesia. Lactate released on deflation of bilateral tourniquets constituted the most likely cause of the exacerbation.

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