A CASE OF MYASTHENIA GRAVIS WITH OBSTRUCTED INGUINAL HERIA.EMERGENCY GROIN EXPLORATION MANAGED SUCCESSFULLY WITH COMBINED SPINAL EPIDURAL ANESTHESIA.

Abstract

Myasthenia gravis is an autoimmune disorder affecting post-synaptic Ach receptor presenting with muscular weakness involving skeletal muscles, muscles of eyes, bulbar muscles etc. Myasthenic patients pose unique anesthetic challenges. They are sensitivite to non-depolarizing muscle relaxants,there may be a need for prolonged post-operative mechanical ventilation and possibility of being a chronic  respiratory cripple. Here I present a case of myasthenia gravis patient coming for emergency groin exploration for obstructed inguinal hernia.