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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva
Minerva Anestesiologica 2008 Aprile;74(4):149-52
General anaesthesia in a patient affected by Brugada syndrome
Vaccarella A., Vitale P., Presti C. A.
Complex Structure of Anaesthesia, Resuscitation and Antalgic Therapy, “Maria Paternò Arezzo” Ragusa Medical Guard, Ragusa, Italy
This case report describes an asymptomatic patient with positive familiar anamnesis of Brugada syndrome (BrS) who elected to undergo surgery. The anaesthesiological technique using propofol, fentanyl, atracurium, air/oxygen did not induce any electrocardiographic alteration during the operation; the intraoperation use of a biphasic defibrillator was critical here. The cerebral state index and adhesive plaques connected with a biphasic defibrillator having PM capabilities allowed us to monitor the operation and continually assess the patient’s cardiac stability. Afterwards, the patient was transferred to the intensive care unit and was monitored for 24 hours. This anesthesiological technique was performed in place of ARL, which the patient refused.