No priming/ precurarization with NMBA
Can cause airway obstruction during induction
Less efficacy of neostigmine as patient is on long term pyridostigmine
High risk of phase 2 block with succinyl choline
Sevoflurane better to use <1 mac; >1 MAC can produce significant NMB
In fact, we can avoid nmba fully with sevoflurane
Better to monitor tof even with sevo alone
Steroids reduce dose requirement of nmba
If pulmonary reserve is poor ...consider plasmapheresis
Whether to continue anticholinesterase, d/w neurologist
Regional anesthesia is better
PAIN CAN PRECIPITATE MYASTHENIC CRISIS: So give good postoperative analgesia
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