General anesthesia for patients with Brugada syndrome. A report of six cases

Mihoko Inamura, Hirotsugu Okamoto, Masayuki Kuroiwa, Sumio Hoka

研究成果: Contribution to journalReview article査読

36 被引用数 (Scopus)


Purpose: To review six cases of Brugada syndrome presenting for insertion of a cardioverter-defibrillator under general anesthesia. Clinical features: All patients had a history of syncope, ST segment elevation in the right precordial lead of the electrocardiogram (ECG) which became prominent after a pilsicainide challenge test. Routine monitors, right precordial lead of the ECG and an external defibrillator were installed prior to anesthesia. We administered propofol/midazolam for induction, and propofol/sevoflurane combined with fentanyl for maintenance of anesthesia. Atropine and ephedrine were administered to decrease vagal tone. No ECG change or arrhythmia was observed perioperatively. After the successful implantation of the defibrillator, all patients were discharged without any adverse event. Conclusion: By avoiding agents or conditions that may exacerbate Brugada syndrome during anesthesia, we were able to manage the patients uneventfully for implantation of a cardioverter-defibrillator.

ジャーナルCanadian Journal of Anesthesia
出版ステータス出版済み - 4 2005

All Science Journal Classification (ASJC) codes

  • 麻酔学および疼痛医療


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