ISMICS - Myasthenia Gravis Patients, Do They Need An Icu Bed Post Thymectomy

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Myasthenia Gravis Patients, Do They Need An Icu Bed Post Thymectomy
Awais Ahmad, Mohammad Hawari, Adnan Raza;
Nottingham University Hospital, Nottingham, United Kingdom

BACKGROUND: This study aims to evaluate if routine post-operative intensive care unit care is required for elective thymectomy in myasthenia gravis (MG) patients or can the patients be managed on the ward/ high dependency unit after surgery
METHODS: Retrospective data analysis performed of MG patients undergoing thymectomy between 2009 and 2022. Parameters include patient�s demographics, length of stay (LOS) and management required in ICU, post- operative complications, procedure, total LOS and histology.
RESULTS: Out of 59 patients, 78% were female and 22% male. Minimally invasive surgery was carried out in 88% of patients. Thymoma was identified in 49%(n=29), thymic hyperplasia in 39%(n=23) and benign disease in 12% (n=7) of the patients. 78%(n=46) of the patients received routine post-operative care in ICU. Mean LOS in ICU was 1.05(�0.08) days. 10%(n=6) of patient had complications recorded after surgery with only one patient requiring ICU intervention with non-invasive ventilation. Median total LOS was 4 days (Range 1-22 days).
CONCLUSIONS: In this study, post-thymectomy patients with MG did not require significant ICU intervention during routine post-operative stay. In selected number of patients, surgery can be performed without the need for routine post-op ICU admission. This will help to prevent cancellations due to ICU scarcity, providing cost effective and efficient service.

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