مريض بالوهن العضلي سيدخل عملية استئصال الغدة الزعترية. أي معلومة يجب إبلاغ فريق التخدير بها؟

A client with myasthenia gravis is having a thymectomy. What must the anaesthetic team be told?

1. That he needs no post-operative breathing monitoring
2. That he needs double doses of muscle relaxants
3. That pyridostigmine stops a week before surgery
4. That some anaesthetic drugs and relaxants act differently in him

Answer: D) That some anaesthetic drugs and relaxants act differently in him. People with myasthenia are very sensitive to non-depolarising relaxants and may need post-operative ventilation. Anaesthesia is coordinated, medicines given per plan and breathing monitored.