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British Journal of Anaesthesia 2008 100(5):724-725; doi:10.1093/bja/aen060
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Persistent train-of-four fade in myasthenia gravis patients after sevoflurane anaesthesia

Y. L. Kwak*, Y. S. Choi, J. K. Shim and E. M. Choi

Seoul, South Korea

* E-mail: ylkwak@yumc.yonsei.ac.kr

The first 10% of the full text of this article appears below.

Editor—We read with great interest the article by Nitahara and colleagues1 showing concentration-dependent inhibitory effects of sevoflurane on neuromuscular transmission in myasthenia gravis (MG) patients which was more prominent in patients with a pre-anaesthetic T4/T1<0.9. In their study, T4/T1 returned to baseline value in all patients at the end of anaesthesia. The importance of monitoring pre-anaesthetic T4/T1 ratio in MG patients has been . . . [Full Text of this Article]

K. Nitahara*, Y. Sugi, K. Higa, S. Shono and T. Hamada

Fukuoka, Japan

* E-mail: nitahara@fukuoka-u.ac.jp


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