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Case Reports
General anesthesia for electroconvulsive therapy with Brugada electrocardiograph pattern.
- Yasuo M Tsutsumi, Yoshinobu Tomiyama, Yousuke T Horikawa, Yoko Sakai, Naohiro Ohshita, Katsuya Tanaka, and Shuzo Oshita.
- Department of Anesthesiology, Institute of Health Bioscience, University of Tokushima Graduate School, Tokushima, Japan.
- J. Med. Invest. 2011 Aug 1;58(3-4):273-6.
AbstractBrugada syndrome is characterized by an electrocardiograph pattern of right bundle-branch block and has an increased risk for cardiac arrest due to malignant arrhythmia. We describe the successful anesthetic management for electroconvulsive therapy in a patient with Brugada electrocardiograph pattern. Patients with Brugada ECG pattern are not recommended to use neostigmine which augments ST elevation. Sugammadex was administered as a neuromuscular reversal agent in this case. Sugammadex provides rapid reversal of profound rocuronium-induced neuromuscular blockade under propofol anesthesia.
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