Key result
Total intravenous anesthesia using midazolam, remifentanil, and rocuronium was successfully used in a Brugada syndrome patient undergoing neurosurgery without intraoperative ECG alterations or complications.
Why the study?
Does total intravenous anesthesia with midazolam, remifentanil, and rocuronium prevent intraoperative ECG alterations and postoperative complications in a patient with Brugada syndrome undergoing neurosurgery?
Case Report (n=1)
No
Does total intravenous anesthesia with midazolam, remifentanil, and rocuronium prevent intraoperative ECG alterations and postoperative complications in a patient with Brugada syndrome undergoing neurosurgery?
Total intravenous anesthesia using midazolam, remifentanil, and rocuronium was safely used without ECG alterations in a patient with Brugada syndrome undergoing neurosurgery.
May support TIVA with this regimen in Brugada syndrome; leaves open need for prospective data before wider use.
Brugada syndrome (BrS) is one of the most common causes of sudden death in young people. It usually presents with life-threatening arrhythmias in subjects without remarkable medical history. The need for surgical treatment may unmask BrS in otherwise asymptomatic patients. The best anaesthesiological treatment in such cases is matter of debate. We report a case of neurosurgical treatment of cerebello pontine angle (CPA) tumor in a BrS patient, performed under total intravenous anesthesia (TIVA) with target controlled infusion (TCI) modalities, using midazolam plus remifentanil and rocuronium, without recordings of intraoperative ECG alterations in the intraoperative period and postoperative complications.
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Martorano et al. (2013) conducted a case report in Brugada syndrome and cerebello pontine angle tumor (n=1). Total intravenous anesthesia (TIVA) with target controlled infusion (TCI) using midazolam, remifentanil, and rocuronium was evaluated on Intraoperative ECG alterations and postoperative complications. Total intravenous anesthesia using midazolam, remifentanil, and rocuronium was successfully used in a Brugada syndrome patient undergoing neurosurgery without intraoperative ECG alterations or complications.
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