Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 20, 2022Albanian Journal of Trauma and Emergency SurgeryOpen Access

Perioperative Management in a Patient with WPW Syndrome undergoing Plastic Surgery.

View Full Paper
Ask AI
Bookmark
Share

Key result

Avoiding sympathetic stimulation and neuromuscular blockers enables uneventful surgery in a WPW syndrome case.

  • n=1

Why the study?

Pre-excitation syndromes have mainly been approached regarding presentation, diagnosis, and treatment, while anaesthetic data for perioperative management remain scarce.

Design

Case report

Authors

MZMerita ZekaHygeia HospitalMGMarsela GogaMother Teresa HospitalSKSaimir KuçiMother Teresa Hospital

Discussion

Loading...

Member takes

Implication

Hypothesis-generating for WPW anesthetic strategies; prospective studies needed before practice change.

Key Points

  • To examine perioperative considerations and anesthetic strategies for preventing life-threatening arrhythmias in patients with Wolff-Parkinson-White syndrome undergoing surgery.
  • Reviewed the perioperative and anesthetic management of a patient with preexcitation syndrome scheduled for plastic surgery.
  • Administered general anesthesia using a laryngeal mask airway without neuromuscular blocking agents while controlling sympathetic tone.
  • Omitting neuromuscular blocking drugs during laryngeal mask airway placement and general anesthesia avoided triggering abnormal electrical conduction.
  • Preventing sympathetic stimulation maintained the accessory pathway refractory period and averted intraoperative life-threatening tachyarrhythmias.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 38-year-old woman with Wolff-Parkinson-White syndrome and hyperthyroidism who underwent plastic breast surgery.
I
Intervention
Perioperative management (avoiding neuromuscular blockers and sympathetic stimulation)

Careful perioperative management, specifically avoiding neuromuscular blockers and sympathetic stimulation, is crucial for preventing arrhythmias in patients with WPW syndrome undergoing surgery.

Cite This Study

Zeka et al. (2022) conducted a case report in Wolff-Parkinson-White (WPW) syndrome (n=1). Perioperative anesthetic management avoiding sympathetic stimulation and neuromuscular blockers was evaluated on Occurrence of perioperative arrhythmias. Careful perioperative management avoiding sympathetic stimulation and neuromuscular blockers resulted in uneventful anesthesia and surgery in a patient with Wolff-Parkinson-White syndrome.

synapsesocial.com/papers/6aa91b22d6272436db5ac9e5https://doi.org/10.32391/ajtes.v6i2.287
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Sevoflurane Has No Effect on Sinoatrial Node Function or on Normal Atrioventricular and Accessory Pathway Conduction in Wolff-Parkinson-White Syndrome during Alfentanil/Midazolam Anesthesia1999 · 53 citations
  2. 2Wolff-Parkinson-White Syndrome Simulating Inferior Myocardial Infarction in a Cocaine Abuser for Urgent Dilation and Evacuation of the Uterus1999 · 9 citations
  3. 3Electrocardiographic features of Wolff-Parkinson-White syndrome2003 · 27 citations
  4. 4Identification of a Gene Responsible for Familial Wolff–Parkinson–White Syndrome2001 · 677 citations