• A&A practice · Jan 2025

    Review Case Reports

    Pain Management in Brugada Syndrome: A Case Report and Review.

    • Kai Sheng Ashton Yin and Xin Yu Adeline Leong.
    • From the Department of General Surgery, Tan Tock Seng Hospital, Singapore.
    • A A Pract. 2025 Jan 1; 19 (1): e01882e01882.

    AbstractBrugada syndrome is a rare condition that increases the risk of life-threatening arrhythmias. Although there are existing anesthesia recommendations for patients with Brugada syndrome, guidance on pain management is limited. We present a novel approach to pain management in these patients, illustrated by the case of a young woman with Brugada syndrome who underwent ropivacaine peripheral nerve infusion and intravenous ketamine infusion for acute-on-chronic left upper limb pain. She received perioperative multimodal analgesia, which included neuropathic agents (pregabalin, duloxetine), and opioids (morphine, codeine). Our findings contribute to a greater understanding of safe analgesic practices for patients with Brugada syndrome.Copyright © 2025 International Anesthesia Research Society.

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