Clinicians in the western Ile-de-France region have retrospectively analyzed the clinical and paraclinical data of 126 myasthenia gravis patients who presented with a first myasthenic episode during the course of their disease, over the period 2001-2018:
- 18 of the 126 patients (i.e. 14%) could not be weaned off their ventilator after a first extubation attempt, despite a standardized protocol and prior performance of respiratory function tests,
- several explanatory factors have been identified, such as the absence of a triggering cause for the myasthenic crisis, or marked weakness of the cervical muscles.
Taking these factors into account will help improve the figures for successful weaning.
