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Manajemen Krisis Miastenia di ICU: Laporan Kasus Dwiriyanti, Dhita Natasha; Anggraeni, Novita
JURNAL ILMIAH GEMA PERENCANA Vol 4 No 2 (2025): Jurnal Ilmiah Gema Perencana
Publisher : POKJANAS Bekerja Sama Biro Perencanaan dan Penganggaran, Sekretariat Jenderal Kementerian Agama RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61860/jigp.v4i2.316

Abstract

This study focuses on analyzing the clinical course of myasthenic crisis in post-thymomectomy patients by examining the triggering factors, physiological responses, and the effectiveness of multidisciplinary interventions in stabilization and recovery. The research method used was an in-depth clinical case study that monitored the patient's condition from the acute phase to the weaning phase through direct observation, medical data analysis, and tracking of the therapeutic interventions provided. The results showed that myasthenic crisis was influenced by a combination of nosocomial infection, severe neuromuscular weakness, electrolyte disturbances, and acute respiratory failure. Each intervention from emergency intubation, aggressive antibiotic therapy, hypokalemia correction, IVIG administration, to respiratory physiotherap contributed directly to the improvement of respiratory function and hemodynamic stability. This study provides important implications that myasthenic crisis is a systemic condition that requires rapid decision-making, a structured therapeutic approach, multi-layered monitoring, and cross-professional integration. In addition to strengthening the global literature, these findings emphasize the value of early identification of triggering factors and metabolic correction as key to accelerating recovery, while also opening up space for further research with larger sample sizes to develop more comprehensive clinical guidelines.