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Carcinoid syndrome with myasthenia gravis |
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| Authors: | S. J. KEENS M. J. DESMOND J. E. UTTING |
| Affiliation: | S.J. Keens, BSc, MB ChB, FFARCS, Lecturer, M.J. Desmond, MB ChB, MRCP, FFARCS, Registrar, J.E. Utting, MA, MBBChir, FFARCS, Professor, University Department of Anaesthesia, 4th Floor, Royal Liverpool Hospital. Prescot Street, Liverpool, L69 3BX. |
| Abstract: | The anaesthetic management of a patient suffering from carcinoid syndrome and myasthenia gravis is described including the successful treatment of a carcinoid attack with intravenous aprotonin. The differences between myasthenia gravis and the myasthenic (Eaton-Lambert) syndrome are considered and the rationale for the choice of vecuronium as the muscle relaxant is discussed. |
| Keywords: | Complications myasthenia gravis carcinoid syndrome Neuromuscular relaxants vecuronium |