ICU SAQs · Neurocritical care / neuromuscular
Myasthenic crisis — diagnosis and ICU management
A CICM SAQ on the myasthenic crisis — the early elective intubation (the NIF under 30, the FVC under 20), the plasma exchange or the IVIG, the steroid-induced-exacerbation caution, and the precipitant and the thymoma search.
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Prompt
A 50-year-old with a known myasthenia gravis presents with a 2-day worsening of the dysphagia and the dyspnoea, after a chest infection. The FVC is 17 mL/kg, the NIF is 24 cmH2O. Outline the ICU management.
Question
A 50-year-old with a known myasthenia gravis presents with a 2-day worsening of the dysphagia and the dyspnoea, after a chest infection. The FVC is 17 mL/kg, the NIF is 24 cmH2O. Outline the ICU management.[1]
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- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.