Caesarean section for twin pregnancy in a parturient with Brugada syndrome

被引:20
作者
Bramall, J. [1 ]
Combeer, A. [1 ]
Springett, J. [1 ]
Wendler, R. [1 ]
机构
[1] Univ London St Georges Hosp, Dept Anaesthesia, London SW17 0QT, England
关键词
Caesarean section; Spinal anaesthesia; Brugada syndrome; ST-SEGMENT ELEVATION; LONG-QT-SYNDROME; GENERAL-ANESTHESIA; PATIENT; BUPIVACAINE; MANAGEMENT; INJECTION; BLOCK;
D O I
10.1016/j.ijoa.2010.10.006
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Brugada syndrome is a common cause of sudden cardiac death. We report the anaesthetic management of a woman with Brugada syndrome for elective caesarean section of twins. There are few reports of this disease in pregnancy and we believe this is the first of elective caesarean section in a parturient with the syndrome. The characteristic electrocardiographic changes of the syndrome are linked to sodium channel blockers including local anaesthetics such as bupivacainc. The use of bupivacaine for intrathecal central neuraxial blockade as well as other drugs commonly used in obstetric anaesthesia is discussed. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:181 / 184
页数:4
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