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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Anaesthetic management of C-section in Brugada syndrome: When less is more
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Vol. 66. Issue 6.
Pages 338-341 (June - July 2019)
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Vol. 66. Issue 6.
Pages 338-341 (June - July 2019)
Case report
DOI: 10.1016/j.redare.2019.05.001
Anaesthetic management of C-section in Brugada syndrome: When less is more
Manejo anestésico del síndrome de Brugada para cesárea: cuando menos es más
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F. Marques da Costa
Corresponding author
filipe.marquesdacosta@gmail.com

Corresponding author.
, M. Luís, F. Lança
Serviço de Anestesiologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal
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Abstract

Brugada syndrome (BrS) is a rare and high risk condition, seldom encountered in the delivery room. Pregnant patients with BrS benefit from the lowest possible doses of arrhythmogenic drugs such as local anaesthetics. Based on this premise, the following case report exposes how a subarachnoid approach might be a desirable technique in C-section procedures for BrS patients. Pain and anxiety management are priorities in this specific population. Peri-partum planning, with a previous anesthesiology appointment and mutidisciplinary care in tertiary hospital facilities are crucial to avoid complications.

Keywords:
Brugada syndrome
Arrhythmia
Subarachnoid anestesia
Resumen

El síndrome de Brugada (SBr) es una condición infrecuente y de alto riesgo que rara vez se encuentra en la sala de partos. Las pacientes embarazadas con SBr se benefician de las dosis más bajas posibles de fármacos arritmogénicos, como los anestésicos locales. Sobre la base de esta premisa, el siguiente caso expone cómo un abordaje subaracnoideo podría ser una técnica deseable en los procedimientos de cesárea para pacientes con SBr. El manejo del dolor y la ansiedad es prioritario en esta población específica. La planificación periparto, con una cita previa de anestesiología, y la atención multidisciplinaria en las instalaciones de hospitales terciarios son cruciales para evitar complicaciones.

Palabras clave:
Síndrome de Brugada
Arritmia
Anestesia subaracnoidea

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