Key result
General anesthesia avoiding sodium channel blockers and neostigmine was safely administered without untoward events in a 45-year-old male with Brugada syndrome undergoing emergency appendicectomy.
Case Report (n=1)
No
Demonstrates successful anesthetic management of a patient with Brugada syndrome undergoing emergency surgery without precipitating malignant dysrhythmias.
May inform anesthetic planning in Brugada syndrome; leaves open need for prospective confirmation before wider adoption.
Brugada syndrome is a myocardial transmembrane conduction of sodium abnormality and a common cause of sudden cardiac death. It is characterized by a distinctive electrocardiograph pattern with right bundle branch block and ST segment elevation in precordial leads V1-V3. Many factors during general anesthetic management could precipitate malignant dysrhythmia. We report the anesthetic management of a patient with Brugada syndrome for emergency appendectomy uneventfully.
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Raval et al. (2012) conducted a case report in Brugada syndrome and acute appendicitis (n=1). General anesthesia avoiding sodium channel blockers and neostigmine was evaluated on Occurrence of untoward events (bradycardia or ventricular fibrillation) during anesthesia. General anesthesia avoiding sodium channel blockers and neostigmine was safely administered without untoward events in a 45-year-old male with Brugada syndrome undergoing emergency appendicectomy.
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