Key result
This review establishes recommendations for safe anesthetic management and drug administration in patients with Brugada Syndrome to mitigate their accentuated risk of postoperative arrhythmias.
Why the study?
Postoperative arrhythmia risk is known to increase and is particularly accentuated in patients with Brugada Syndrome, warranting safe surgical and anesthetic management recommendations.
What are the anesthetic considerations and safe management algorithms for patients with Brugada Syndrome?
What are the anesthetic considerations and safe management algorithms for patients with Brugada Syndrome?
This review provides updated recommendations and an algorithm for the safe anesthetic management of patients with Brugada Syndrome to minimize perioperative arrhythmogenic risk.
Answers are grounded in this paper and cite their sources.
Offers perioperative guidance for Brugada syndrome; leaves open need for prospective validation of recommendations.
Brugada Syndrome is characterized by arrhythmogenic risk that may be exacerbated by different metabolic and pharmacological factors. Since its first description, knowledge of this syndrome and its detection by physicians belonging to different specialties have gradually increased. The risk of arrhythmias is well known to increase in the postoperative period, and this risk is particularly accentuated in patients with Brugada Syndrome. The purpose of this review is to analyze the relationship between this syndrome and anesthesia; establish recommendations for the safe management of these patients in the surgical setting; and update the relevant concepts regarding the safety of drug administration in individuals with Brugada Syndrome.
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Espinosa et al. (2019) conducted a review in Brugada Syndrome. Anesthesia was evaluated. This review establishes recommendations for safe anesthetic management and drug administration in patients with Brugada Syndrome to mitigate their accentuated risk of postoperative arrhythmias.
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