{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:31:57Z","timestamp":1786739517727,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Literature on anesthetic management of juvenile myasthenia gravis (JMG) for thymectomy is limited. Recently, use of inhalational agents and total intravenous anesthesia with propofol and remifentanyl has been reported. All these techniques individually or in combination have been tried to avoid the use of muscle relaxant. We report successful use of sevoflurane as sole anesthetic agent for intubation and in combination with thoracic epidural anesthesia for intraoperative anesthetic management in a 5-year-old child with JMG.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0970-9185.130088","type":"journal-article","created":{"date-parts":[[2014,4,4]],"date-time":"2014-04-04T03:46:08Z","timestamp":1396583168000},"page":"276-278","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Sevoflurane and thoracic epidural anesthesia for trans-sternal thymectomy in a child with juvenile myasthenia gravis"],"prefix":"10.4103","volume":"30","author":[{"given":"Valluvan","family":"Rangasamy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaushal","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Rai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalim Kumar","family":"Baidya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-28-20260203","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4103\/1658-354X.76490","article-title":"Anaesthesia for patients undergoing transsternal thymectomy for juvenile myasthenia gravis","volume":"5","author":"Stephenson","year":"2011","journal-title":"Saudi J Anaesth"},{"key":"R3-28-20260203","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1111\/j.1460-9592.2004.01292.x","article-title":"Anaesthesia for thymectomy in chidren with myasthenia gravis","volume":"14","author":"White","year":"2004","journal-title":"Paediatr Anaesth"},{"key":"R5-28-20260203","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1111\/j.1365-2044.1993.tb07590.x","article-title":"Repeated doses of suxamethonium in the myasthenic patient","volume":"48","author":"Baraka","year":"1993","journal-title":"Anaesthesia"},{"key":"R6-28-20260203","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1111\/j.1365-2044.1984.tb08883.x","article-title":"Atracurium in the myasthenic patient","volume":"39","author":"Bell","year":"1984","journal-title":"Anaesthesia"},{"key":"R7-28-20260203","first-page":"88","article-title":"Myasthenia gravis","volume":"2","author":"Thavasothy","year":"2002","journal-title":"Br J Anaesth"},{"key":"R8-28-20260203","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1034\/j.1399-6576.2000.440324.x","article-title":"Sevoflurane as a sole anaesthetic for thymectomy in myasthenia gravis","volume":"44","author":"Kiran","year":"2000","journal-title":"Acta Anaesthesiol Scand"},{"key":"R9-28-20260203","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1007\/BF03018638","article-title":"Propofol or sevoflurane anesthesia without muscle relaxants allow the early extubation of myasthenic patients","volume":"50","author":"Della","year":"2003","journal-title":"Can J Anaesth"},{"key":"R10-28-20260203","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1097\/00000542-200402000-00055","article-title":"Delayed postoperative arousal following remifentanil-based anesthesia in a myasthenic patient undergoing thymectomy","volume":"100","author":"Baraka","year":"2004","journal-title":"Anesthesiology"},{"key":"R11-28-20260203","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1097\/ALN.0b013e3181c5e03a","article-title":"Ultrasound imaging for regional anesthesia in infants, children, and adolescents: A review of current literature and its application in the practice of neuraxial blocks","volume":"112","author":"Tsui","year":"2010","journal-title":"Anesthesiology"}],"container-title":["Journal of Anaesthesiology Clinical Pharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01607275-201430020-00028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:29:38Z","timestamp":1786735778000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0970-9185.130088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.4103\/0970-9185.130088","relation":{},"ISSN":["0970-9185"],"issn-type":[{"value":"0970-9185","type":"print"}],"subject":[],"published":{"date-parts":[[2014,4]]}}}