A Novel Anaesthetical Approach to Patients with Brugada Syndrome in Neurosurgery

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 anaesthesiologica...

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Bibliographic Details
Main Authors: Pietro Paolo Martorano, Edoardo Barboni, Giovanni Buscema, Alessandro Di Rienzo
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2013/280826
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Summary: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.
ISSN:2090-6382
2090-6390