When is patient transfer indicated for the treatment of myasthenia gravis?

Updated: Sep 20, 2018
  • Author: William D Goldenberg, MD; Chief Editor: Andrew K Chang, MD, MS  more...
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Answer

Answer

Patients with severe exacerbations of myasthenia gravis or cholinergic crisis should be transferred only after they have been stabilized and the airway has been secured. Persistent hypoxemia, hypercarbia, dysrhythmias, or unstable vital signs make transfer unwise, unless appropriate care cannot be delivered at the original facility.

Emergent consultation with a neurologist is indicated. Patients with severe exacerbations requiring intubation and mechanical ventilation are managed in an intensive care setting with appropriate consultation. [5]

With regard to patient monitoring, all patients with myasthenia gravis should be referred to a neurologist for ongoing care.


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