Key result
Remifentanil patient-controlled analgesia followed by spinal anesthesia provided safe and effective labor analgesia and surgical anesthesia without triggering malignant arrhythmias in a parturient with Brugada syndrome.
Case Report (n=1)
Remifentanil PCA and carefully dosed spinal anesthesia with bupivacaine can be safely used for labor and emergency cesarean section in patients with Brugada syndrome.
Supports cautious use of remifentanil PCA plus spinal in Brugada parturients; leaves open need for prospective validation.
Abstarct: 32 Years old Primigravida, with Brugada syndrome presented for analgesic and anesthetic management for normal vaginal delivery which progressed to emergency caesarean section. We are presenting a structured approach aiming for avoiding medication that can trigger malignant arrhythmia; Possibly achieving minimal local anesthetic serum concentration which could trigger such attacks.
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A 2020 study conducted a case report in Brugada syndrome in labor (n=1). Remifentanil patient-controlled analgesia followed by spinal anesthesia was evaluated on Successful anesthetic management without triggering malignant arrhythmia. Remifentanil patient-controlled analgesia followed by spinal anesthesia provided safe and effective labor analgesia and surgical anesthesia without triggering malignant arrhythmias in a parturient with Brugada syndrome.
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