Anaesthetic management of C-section in Brugada syndrome: When less is more

被引:1
作者
Marques da Costa, F. [1 ]
Luis, M. [1 ]
Lanca, F. [1 ]
机构
[1] Ctr Hosp Lisboa Norte, Hosp Santa Maria, Serv Anestesiol, Lisbon, Portugal
来源
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION | 2019年 / 66卷 / 06期
关键词
Brugada syndrome; Arrhythmia; Subarachinoid anestesia; GENERAL-ANESTHESIA; BUPIVACAINE; PHARMACOKINETICS;
D O I
10.1016/j.redar.2019.01.005
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Brugada Syndrome (BrS) is a rare and high risk condition, seldom encountered in the delivery room. Pregnant patients with BrS benefit from the lowest possible doses of arrhyth-mogenic drugs such as local anesthetics. Based on this premise, the following case report exposes how a subarachnoid approach might be a desirable technique in C-section procedures for BrS patients. Pain and anxiety management are priorities in this specific population. Peri-partum planning, with a previous anesthesiology appointment and mutidisciplinary care in tertiary hospital facilities are crucial to avoid complications. (C) 2019 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:338 / 341
页数:4
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