Epidural Analgesia with Ropivacaine during Labour in a Patient with a SCN5A Gene MutationReportar como inadecuado




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Case Reports in Anesthesiology - Volume 2016 2016, Article ID 9278409, 4 pages -

Case Report

Department of Anesthesiology, Erasmus University Medical Centre, Rotterdam, Netherlands

Department of Obstetrics and Gynaecology, Erasmus University Medical Centre, Rotterdam, Netherlands

Department of Cardiology, Erasmus University Medical Centre, Rotterdam, Netherlands

Received 12 April 2016; Revised 31 July 2016; Accepted 22 August 2016

Academic Editor: Richard Riley

Copyright © 2016 A. L. M. J. van der Knijff-van Dortmont 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

SCN5A gene mutations can lead to ion channel defects which can cause cardiac conduction disturbances. In the presence of specific ECG characteristics, this mutation is called Brugada syndrome. Many drugs are associated with adverse events, making anesthesia in patients with SCN5A gene mutations or Brugada syndrome challenging. In this case report, we describe a pregnant patient with this mutation who received epidural analgesia using low dose ropivacaine and sufentanil during labour.





Autor: A. L. M. J. van der Knijff-van Dortmont, M. Dirckx, J. J. Duvekot, J. W. Roos-Hesselink, A. Gonzalez Candel, C. D. van der Ma

Fuente: https://www.hindawi.com/



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