A Novel Anaesthetical Approach to Patients with Brugada Syndrome in NeurosurgeryReport as inadecuate




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Case Reports in AnesthesiologyVolume 2013 2013, Article ID 280826, 3 pages

Case Report

Head of Neuroanesthesia Unit, Ospedali Riuniti, Via Conca 71 - 60126 Ancona, Italy

Clinic of Anesthesia and Intensive Care Unit, Department of Emergency, Ospedali Riuniti, Via Conca 71 - 60126 Ancona, Italy

Anesthesia and Intensive Care Unit, AOU G. Rodolico, Via S. Sofia 78 - 95123 Catania, Italy

Department of Neurosurgery, Università Politecnica delle Marche, Ospedali Riuniti, Via Conca 71 - 60126 Ancona, Italy

Received 2 April 2013; Accepted 15 May 2013

Academic Editors: A. Apan, M. R. Chakravarthy, and A. Trikha

Copyright © 2013 Pietro Paolo Martorano et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.





Author: Pietro Paolo Martorano, Edoardo Barboni, Giovanni Buscema, and Alessandro Di Rienzo

Source: https://www.hindawi.com/



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