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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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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author Pietro Paolo Martorano
Edoardo Barboni
Giovanni Buscema
Alessandro Di Rienzo
author_facet Pietro Paolo Martorano
Edoardo Barboni
Giovanni Buscema
Alessandro Di Rienzo
author_sort Pietro Paolo Martorano
collection DOAJ
description 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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institution Kabale University
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publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Anesthesiology
spelling doaj-art-0e2d144c38fa4f51b9ff88f06b0b61402025-02-03T06:08:14ZengWileyCase Reports in Anesthesiology2090-63822090-63902013-01-01201310.1155/2013/280826280826A Novel Anaesthetical Approach to Patients with Brugada Syndrome in NeurosurgeryPietro Paolo Martorano0Edoardo Barboni1Giovanni Buscema2Alessandro Di Rienzo3Head of Neuroanesthesia Unit, Ospedali Riuniti, Via Conca 71 - 60126 Ancona, ItalyClinic of Anesthesia and Intensive Care Unit, Department of Emergency, Ospedali Riuniti, Via Conca 71 - 60126 Ancona, ItalyAnesthesia and Intensive Care Unit, AOU G. Rodolico, Via S. Sofia 78 - 95123 Catania, ItalyDepartment of Neurosurgery, Università Politecnica delle Marche, Ospedali Riuniti, Via Conca 71 - 60126 Ancona, ItalyBrugada 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.http://dx.doi.org/10.1155/2013/280826
spellingShingle Pietro Paolo Martorano
Edoardo Barboni
Giovanni Buscema
Alessandro Di Rienzo
A Novel Anaesthetical Approach to Patients with Brugada Syndrome in Neurosurgery
Case Reports in Anesthesiology
title A Novel Anaesthetical Approach to Patients with Brugada Syndrome in Neurosurgery
title_full A Novel Anaesthetical Approach to Patients with Brugada Syndrome in Neurosurgery
title_fullStr A Novel Anaesthetical Approach to Patients with Brugada Syndrome in Neurosurgery
title_full_unstemmed A Novel Anaesthetical Approach to Patients with Brugada Syndrome in Neurosurgery
title_short A Novel Anaesthetical Approach to Patients with Brugada Syndrome in Neurosurgery
title_sort novel anaesthetical approach to patients with brugada syndrome in neurosurgery
url http://dx.doi.org/10.1155/2013/280826
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