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- Title
General anesthesia in patient with Brugada syndrome.
- Authors
Gómez-Martínez, María de Loreto; Fernández-Garijo, Pilar; Rodríguez-Cabo, Francisco; Bustamante-Munguira, Juan; Gómez-Martínez, María del Rocío; Vegas-Pavesio, Margarita; Aldecoa-Santullano, César; Gómez-Herreras, José Ignacio
- Abstract
A man with Brugada syndrome underwent an otologic surgery delivery. The operation with general anesthesia was uneventful. Brugada syndrome is characterized by a right bundle branch blockade, ST segment elevation in right precordial leads and a high risk of presenting malignant ventricular arrhythmias (polymorphic ventricular tachycardia and/or ventricular fibrillation) and sudden cardiac death in patients with structurally normal hearts. From 20 to 60 percent of idiopathic ventricular fibrillation could be associated with this syndrome. There are several precipitating factors. General anesthesia in these cases needs continuous ECG recording. The monitoring of the bispectral index, temperature, neuromuscular block and arterial blood pressure is important. In conclusion, we need to know the ECG manifestations of Brugada syndrome, the recommendations for automatic defibrillator implantation (ADI) and the pathophysiological mechanisms to avoid agents or conditions that may induce arrhythmias. During the first 24 hours after the surgery, these patients must be closely monitored by right precordial ECG leads.
- Subjects
ANESTHESIA; BRUGADA syndrome; ARRHYTHMIA; CARDIAC arrest; VENTRICULAR fibrillation; DEFIBRILLATORS; ELECTROCARDIOGRAPHY
- Publication
Revista Mexicana de Anestesiología, 2008, Vol 31, Issue 4, p311
- ISSN
0484-7903
- Publication type
Article