Anesthetic management of a pregnant woman with Brugada syndrome in the delivery area. About a case.

Authors

  • Pilar Hernández Pinto Attending Physician of Anesthesia at Marqués de Valdecilla University Hospital in Santander, Spain
  • Inés Álvarez de Eulate Attending Physician of Anesthesia at Marqués de Valdecilla University Hospital in Santander, Spain
  • Gabriel Escudero Gómez Resident of Anesthesia at Marqués de Valdecilla University Hospital in Santander, Spain
  • Ana Belén Fernández Crespo Attending Physician of Anesthesia at Marqués de Valdecilla University Hospital in Santander, Spain

DOI:

https://doi.org/10.30445/rear.v14i4.1026

Keywords:

Brugada syndrome, epidural analgesia, pregnancy, anesthetic management

Abstract

There are few publications available in relation to the anesthetic management of pregnant women with Brugada syndrome. Given the predisposition to ventricular arrhythmias and associated sudden cardiac death, anesthesiologists must know what drugs should be avoided and what type of anesthesia can be used in these cases.

The anesthetic management of a pregnant woman with the SCN5A pathogenic variant of Brugada syndrome in the delivery area is described. A combined spinal-epidural technique with L-bupivacaine is performed as a rescue due to inadequate epidural analgesia during labor. With the description of this case, we updated the anesthetic management of this type of patient.

References

Espinosa A, Ripollés-Melchor J, Brugada R, Campuzano O, Sarquella-Brugada G, Abad-Motos A et al. Brugada Syndrome: anesthetic considerations and managemenet algorithm. Minerva Anestesiol. 2019; 85 (2): 173-188. doi 10.23736/S0375-9393.18.13170-1.

Giambanco L, Incandela D, Maiorana A, Alio W, Alio L. Brugada syndrome and pregnancy: highlights on antenatal and prenatal management. Case Rep Obstet Gynecol. 2014; 2014: 531648. Publicado online 2014 May 22 doi: 10.1155/2014/531648

Bramall J, Combeer A, Springett J, Wendler R. Caesarean section for twin pregnancy in a parturient with Brugada syndrome. Int J Obstet Anesth. 2011; 20 (2): 181-doi: 10.1016/j.ijoa.2010.10.006.

Sharif-Kazemi MB, Emkanjoo Z, Tavoosi A, Kafi M, Kheirkhah J, Alizadeh A, et al. Electrical storm in Brugada syndrome during pregnancy. Pacing Clin Electrophysiol. 2011; 34 (2): 18-21. doi: 10.1111/j.1540-8159.2010.02740. x.

Pagel PS, Lilly RE, Nicolosi AC. Use of ECMO to temporize circulatory instability during severe Brugada electrical storm. Ann Thorac Surg. 2009; 88 (3): 982-3. doi: 10.1016/j.athoracsur.2009.01.066.

Dawe H, Wendler R, Evans E, Hammond S. Peripartum anaesthetic management of a patient with Brugada syndrome and myoadenylate deaminase deficiency. Int J Obstet Anesth. 2018; 35 :96-98. doi: 10.1016/j.ijoa.2018.02.008.

Marques da Costa F, Luís M, Lança F. Anaesthetic management of C-section in Brugada syndrome: When less is more. Rev Esp Anestesiol Reanim. 2019; 66 (6): 338-341. English, Spanish. doi: 10.1016/j.redar.2019.01.005.

Espinosa A, Ripollés Melchor J, Rodríguez Bustamante V, Izarduy L, Prieto Gundin A, Atienza A et al. Sd. De Brugada y anestesia: Manejo anestésico (parte III/III). Rev Elect AnestesiaR [Internet]. 2016 Feb. 1 [consultado 2020 Nov 23]; 8 (3):3. Disponible en: http://revistaanestesiar.org/index.php/rear/article/view/98. DOI: https://doi.org/10.30445/rear.v8i3.

Kloesel B, Ackerman MJ, Sprung J, Narr BJ, Weingarten TN. Anesthetic management of patients with Brugada syndrome: a case series and literature review. Can J Anaesth. 2011; 58 (9): 824-36. doi: 10.1007/s12630-011-9546-y.

Postema PG, Wolpert C, Amin AS, Probst V, Borggrefe M, Roden DM et al. Drugs and Brugada syndrome patients: review of the literature, recommendations, and an up-to-date website (www.brugadadrugs.org). Heart Rhythm. 2009; 6 (9): 1335-41. doi: 10.1016/j.hrthm.2009.07.002.

Published

2022-05-09

How to Cite

Hernández Pinto, P., Álvarez de Eulate, I., Escudero Gómez, G., & Fernández Crespo, A. B. (2022). Anesthetic management of a pregnant woman with Brugada syndrome in the delivery area. About a case . Revista Electrónica AnestesiaR, 14(4). https://doi.org/10.30445/rear.v14i4.1026

Most read articles by the same author(s)