Should We Even Care About Myasthenia Gravis In The Era Of Sugammadex?

Document Type

Conference Proceeding

Publication Date



A 51 year-old patient with history of Myastenia Gravis and Ulcerative Colitis presented for a robotic total colectomy. After induction he was intubated and paralyzed with rocuronium. Paralytic was re-dosed multiple times over first several hours as he proved difficult to fully relax. He subsequently lost all four twitches, and did not achieve any noticeable recovery over the remainder of the case. The patient was ultimately given sugammadex for reversal and successfully extubated. This presentation will examine the use of neuromuscular blockers, acetylcholinesterase inhibitors, and sugammadex perioperatively in the patient with Myasthenia Gravis.


American Society of Anesthesiology, Anesthesiology 2019. Orlando, FL. October 19-23, 2019.