Rocuronium and Sugammadex Used Effectively for Electroconvulsive Therapy in a Patient With Brugada Syndrome

Konishi, Junpei; Suzuki, Takahiro; Kondô, Yûkô; Baba, Miyako; Ogawa, Setsuro

doi:10.1097/yct.0b013e31824b74f5

Cited by 12 publications

(17 citation statements)

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“…Neostigmine did not cause any abnormalities in our case as well. Sugammadex could be effectively and safely used to antagonize neuromuscular block (10). Although the most common opioid used in patients with Brugada syndrome is fentanyl (11), Ahn and Kim (12) reported the successful use of remifentanil.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic Management of a Patient with Brugada Syndrome

Sahinkaya¹,

Yaşar²,

Tekgül³

et al. 2016

Turk J Anaesth Reanim

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Case Report / Olgu Sunumu Brugada Sendromu, malign aritmilere yatkınlığı olan, elektrokardiyografide (EKG) sağ dal bloğu ve sağ prekordiyal derivasyonlarda (V1-3) kalıcı ST segment elevasyonu bulunan, yapısal kalp hastalığı olmayan, etiyolojisi belirlenememiş bir hastalıktır. Biz bu yazıda, preoperatif anestezi değerlendirmesi sırasında annesinin kalp nedenli erken yaşta ölümü tespit edilen 35 yaşında asemptomatik Brugada sendromlu hastada anestezi yönetimini tartışmayı amaçladık. Sonuçta, anestezi değerlendirmesinde özgeçmişin detaylı sorgulanması, laboratuvar ve görüntüleme tetkik sonuçları-nın dikkatli incelenmesi birçok hastalığın erken tanısında yarar sağladığı gibi iyi bir anestezi yönetiminin de temelini oluşturur düşüncesindeyiz.Anahtar kelimeler: Anestezi, ani kardiyak ölüm, Brugada Sendromu, ST yüksekliği Brugada Syndrome is a condition with an undetermined aetiology and a tendency for malignant arrhythmias, an electrocardiographic pattern of a right bundle branch block with persistent ST segment elevation in the right precordial leads (V1-V3) and no association with structural heart disease. We aimed to discuss the anaesthetic management of an asymptomatic 35-year-old patient with Brugada syndrome who had been diagnosed during the pre-anaesthetic assessment because of the family history of the early sudden cardiac death of his mother. As a result, we believe that detailed patient history and careful examination of laboratory tests and electrocardiography are crucial for early diagnosis of some diseases and for successful anaesthetic management.Keywords: Anaesthesia, sudden cardiac death, Brugada syndrome, ST segment elevation Abstract / Öz

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Section: Discussionmentioning

confidence: 99%

Anaesthetic Management of a Patient with Brugada Syndrome

Sahinkaya¹,

Yaşar²,

Tekgül³

et al. 2016

Turk J Anaesth Reanim

View full text Add to dashboard Cite

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“…were employed in the BS cases in this study. The intravenous anesthetic propofol was used for both the induction [27][28][29][30][31][32][33][34][35][36][37][38] and maintenance of anesthesia [29,[37][38][39][40] while midazolam was utilized for both premedication [31,34,37,38,41] and induction. [27,29,33] Only the one case in which ketamine and diazepam were used died, [42] and this was due to sedation with high-dose ketamine, which led to cardiac arrest.…”

Section: Discussionmentioning

confidence: 99%

“…However, concerns about neostigmine have led some authors to prefer sugammadex, which was used safely in two of the reported cases. [30,36] Additionally, we found that atropine was selected for use in only one case [54] and that glycopyrrolate [27,31,45,48] was more commonly applied as an anticholinergic agent.…”

Section: Dischargedmentioning

confidence: 99%

“…Our patients also received the NMBAs vecuronium, [27,29,34,35,43,45,46,54] rocuronium, [30][31][32][33]36] cisatracurium, [28,47] succinylcholine, [27,38,45] and atracurium [37,38,48] but succinylcholine is not normally used because of its adverse effects. [29] As an anticholinesterase agent, neostigmine is also avoided because it can lead to ST-segment elevation in BS patients.…”

Section: Dischargedmentioning

confidence: 99%

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Brugada syndrome and anesthesia

Öztürk¹

2013

Turk Gogus Kalp Dama

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Brugada sendromu, yapısal kalp hastalığı bulunmayanlarda, elektrokardiyografide V1-3 derivasyonlarında sağ dal bloku ile spontan ya da indüklenmiş ST-segment elevasyonu ile karakterize, ani kardiyak ölüme yol açan genetik bir hastalıktır. Brugada sendromu bulunan hastalarda anestezi uygulamasına ilişkin sınırlı sayıda deneyim mevcut olduğu için, klinik uygulamaya yönelik henüz bir uzlaşı raporu bulunmamaktadır. Bu sistematik derlemede nadir görülen bu kalp hastalığında uygulanan anestezi teknikleri ve anesteziklerin etkileri ve güvenliliği irdelendi.Anah tar söz cük ler: Anestezi; anestezik ilaç; Brugada sendromu.Brugada syndrome is a genetic disease leading to sudden cardiac death, which is characterized by a spontaneous or induced ST-segment elevation with right bundle branch block in V1-3 leads in electrocardiography in those without any structural heart disease. As there is a limited number of experiences on anesthetizing patients with Brugada syndrome, no consensus report for clinical practice has been available yet. In this systematic review, we discussed the anesthesia techniques, and the effects and safety of anesthesia applied in this rarely seen heart disease.

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“…However, sugammadex is safe and effective in these patients. [39][40][41] Patients with liver disease have longer blockade recovery times, even after administration of neostigmine, due to slower hepatic metabolism of rocuronium or vecuronium. 42 The encapsulation by sugammadex alters the excretion of rocuronium or vecuronium to a liver-independent, renal pathway and allows safe administration in patients with hepatic dysfunction.…”

Section: Special Populationsmentioning

confidence: 99%