Anesthesia Management of a Patient with Brugada Syndrome for an Urgent Procedure

  • Maria Viegas Ribeiro Centro Hospitalar Lisboa Norte
  • Ana Sofia Cunha
  • Ana Margarida Damas
  • Idalina Rodrigues
Palavras-chave: Anesthesia; Arrhythmias, Cardiac; Brugada Syndrome

Resumo

Brugada syndrome is a cardiac conduction abnormality accounting for up to 20% of sudden deaths. It is important for anesthesiologists to be familiar with this syndrome in order to safely manage these
patients. At present time, there are no definite recommendations for general or regional anesthesia. However, some anesthetic agents are noted to have an association with ST segment elevations and can result in an increased risk of arrhythmias.

The most important aspect in the anesthetic approach is careful consideration upon the administration of every drug. Besides this, back up plans should be made in advance, as for every patient undergoing any anesthetic procedure. This case report targets the challenges faced by the anesthesia providers in administering safe anesthesia to a patient with Brugada syndrome, especially in an urgent scenario,
and considers alternative anesthetic agents for these patients in order to minimize their risks under anesthesia.

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Referências

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Publicado
2019-04-04
Como Citar
Ribeiro, M., Cunha, A., Damas, A., & Rodrigues, I. (2019). Anesthesia Management of a Patient with Brugada Syndrome for an Urgent Procedure. Revista Da Sociedade Portuguesa De Anestesiologia, 28(1), 67 - 69. https://doi.org/10.25751/rspa.15812