Tsutsumi Yasuo M, Tomiyama Yoshinobu, Horikawa Yousuke T, Sakai Yoko, Ohshita Naohiro, Tanaka Katsuya, Oshita Shuzo
Department of Anesthesiology, Institute of Health Bioscience, University of Tokushima Graduate School, Tokushima, Japan.
J Med Invest. 2011 Aug;58(3-4):273-6. doi: 10.2152/jmi.58.273.
Brugada 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.
