Brugada Sendromlu Hastada Anestezi Yönetimi
Özet
Bilinen Brugada sendromu (BrS) tanılı 38 yaşındaki hastaya kolesistektomi operasyonu planlandı. Preoperatif dönemde hastadan kardiyoloji konsültasyonu istendi ve elektrolit imbalansı gibi aritmiyi tetikleyebilecek bir faktör olmadığına emin olundu. Rutin monitörizasyona ek olarak, invaziv kan basıncı, ısı ve bispektral indeks (BİS) monitörizasyonu yapıldı. Taşiaritmileri tetkikleyebilecek ilaçlardan kaçınıldı. Vaka komplikasyon izlenmeden sona erdi ve hasta yakın takip amacı ile 24 saat postoperatif yoğun ünitesinde gözlem altında tutulduktan sonra genel cerrahi servisine taburcu edildi.
Referanslar
Yan GX, Antzelevitch C. Circulation. Cellular Basis for the Brugada Syndrome and Other Mechanisms of Arrhythmogenesis Associated With ST-Segment Elevation1999;100(15):1660.
Veltmann C, Schimpf R, Echternach C, Eckardt L, Kuschyk J, Streitner F, Spehl S, Borggrefe M, Wolpert C. A Prospective Study on Spontaneous Fluctuations Between Diagnostic and Non-Diagnostic ECGs in Brugada Syndrome: Implications for Correct Phenotyping and Risk Stratification. Eur Heart J. 2006;27(21):2544.
Antzelevitch C, Brugada P, Borggrefe M, Brugada J, Brugada R, Corrado D, Gussak I, Lemarec H, Nademanee K, Riera ARP, Shimizu W, Schulze-Bahr E, Tan H, Wilde A. Brugada Syndrome: Report of the Second Consensus Conference: Endorsed by the Heart Rhythm Society and the European Heart Rhythm Association.
Matsuo K, Kurita T, Inagaki M, Kakishita M, Aihara N, Shimizu W, Taguchi A, Suyama K, Kamakura S, Shimomura K. The Circadian Pattern of the Development of Ventricular Fibrillation in Patients with Brugada Syndrome. Eur Heart J. 1999;20(6):465.
Postema PG, Wolpert C, Amin AS, Probst V, Borggrefe M, Roden DM, Priori SG, Tan HL, Hiraoka M, Brugada J, Wilde AAM. Drugs and Brugada Syndrome Patients: Review of the Literature, Recommendations, and an Up-To-Date Website (www.brugadadrugs.org). Heart Rhythm. 2009 Sep;6(9):1335-41. doi:10.1016/j.hrthm.2009.07.002.
Saint DA. The Effects of Propofol on Macroscopic and Single Channel Sodium Currents in Rat Ventricular Myocytes. Br J Pharmacol 1998;124:655–62.
Zhou W, Fontenot HJ, Liu S, Kennedy RH. Modulation of Cardiac Calcium Channels by Propofol. Anesthesiology 1997;86:670–5.
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 Sep;58(9):824-36. doi: 10.1007/s12630-011-9546-y.
Espinosa A, Ripollés-Melchor J , Brugada R , Campuzano O , Sarquella-Brugada G, Abad-Motos A , Zaballos-García M , Abad-Torrent A , Prieto-Gundin A , Brugada J. Brugada Syndrome: Anesthetic Considerations and Management Algorithm. Minerva Anestesiol. 2019 Feb;85(2):173-188. doi: 10.23736/S0375-9393.18.13170-1.
Tuncalı B, Kökten G, Altın C. Anaesthetic Management of a Patient with Brugada Syndrome in Total Knee Arthroplasty. Turk J Anaesthesiol Reanim. 2021 Feb;49(1):70-73.
Flamée P, Varnavas V, Dewals W, Carvalho H, Cools W, Bhutia JT, Beckers S, Umbrain V, Verborgh C, Forget P, Chierchia GB, Brugada P, Poelaert J, De Asmundis C. Electrocardiographic Effects of Propofol versus Etomidate in Patients with Brugada Syndrome. Anesthesiology. 2020 Mar;132(3):440-451.
Sanjamala HSR, Zafar H, Ur Rehman TAZ, Nasir Y, Khosla J, Murray C. From Calm to Cardiac Chaos: A Case of Ketamine Induced Brugada Pattern. JACC Volume 85, Number 12_Supplement
Vafaei R, Sikkel MB, Wilkins J. Case Report: Unmasked Brugada Pattern in a Post-Arrest Patient After Ketamine Induction for Intubation in the Emergency Department. CJEM.2024 Jan;26(1):62-64. doi: 10.1007/s43678-023-00596-x.
Kim JS, Park SY, Min SK, Kim JH, Lee SY, Moon BK, Chae YJ. Anaesthesia in Patients with Brugada Syndrome. Acta Anaesthesiol Scand. 2004 Sep;48(8):1058-61.
Konishi J, Suzuki T, Kondo Y, Baba M, Ogawa S. Rocuronium and Sugammadex Used Effectively for Electroconvulsive Therapy in A Patient with Brugada Syndrome. ECT. 2012 Jun;28(2):e21-2. doi: 10.1097/YCT.0b013e31824b74f5.
Edge CJ, Blackman DJ, Gupta K, Sainsbury M. General Anaesthesia in A Patient with Brugada Syndrome. Br J Anaesth 2002;89:788–91.
Isolated Tramadol Overdose Associated with Brugada ECG Pattern. Cole JB, Sattiraju S, Bilden EF, Asinger RW, Bertog SC. Pacing Clin Electrophysiol. 2012 Aug;35(8):e219-21.
Haeseler G, Foadi N, Ahrens J, Dengler R, Hecker H, Leuwer M. Tramadol, Fentanyl and Sufentanil but not Morphine Block Voltage-Operated Sodium Channels. Pain. 2006 Dec 15;126(1-3):234-44. doi: 10.1016/j.pain.2006.07.003
Choi EK, Park SJ, Baek JY, Seo M. Peripheral Nerve Block with Ropivacaine in Brugada Syndrome Patient: Anesthetic Consideration. Saudi J Anaesth. 2023 Jan-Mar;17(1):91-93. doi: 10.4103/sja.sja_573_22.
Al-Khatib SM, Stevenson WG, Ackerman MJ, Bryant WJ, Callans DJ, Curtis AB, Deal BJ, Dickfeld T, Field ME, Fonarow GC, Gillis AM, Granger CB, Hammill SC, Hlatky MA, Joglar JA, Kay GN, Matlock DD, Myerburg RJ, Page RL. 2017/ACC/HRS Guideline for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2018;72(14):E91.
DG Katritsis, Zareba W, Camm AJ. Nonsustained Ventricular Tachycardia. J Am Coll Cardiol. 2012 Nov 13;60(20):1993-2004. doi:10.1016/j.jacc.2011.12.063.
Belhassen B, Viskin S. Management of Brugada syndrome: clinical experience with quinidine and isoproterenol. Heart Rhythm. 2004;1:562–564.
Soar J, Böttiger BW, Carli P, Couper K, Deakin CD, Djärv T, Lott C, Olasveengen T, Paal P, Pellis T, Perkins GD, Sandroni C, Nolan JP. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation. 2021;161:115-151. doi:10.1016/j.resuscitation.2021.02.010.
Cuttone G, Martucci G, Napoli R, Tigano S, Arcadipane A, Pappalardo F, Sanfilippo F. Anesthesiological management of Brugada syndrome patients: A systematic review. Saudi Journal of Anesthesia 17(3):p 394-400, Jul–Sep 2023. DOI: 10.4103/sja.sja_205_23
Martorano PP, Paciarini AG, Sampaolo C, Boncagni F. Anaesthesia Recommendations for Brugada Syndrome. OrphanAnesthesia. March 2022.
