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布加综合征患者使用罗哌卡因进行外周神经阻滞：麻醉相关考量

Peripheral nerve block with ropivacaine in Brugada syndrome patient: Anesthetic consideration.

作者信息

Choi Eun Kyung, Park Sang-Jin, Baek Jong Yoon, Seo Myungjin

机构信息

Department of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Daegu, Korea.

出版信息

Saudi J Anaesth. 2023 Jan-Mar;17(1):91-93. doi: 10.4103/sja.sja_573_22. Epub 2023 Jan 2.

DOI:10.4103/sja.sja_573_22
PMID:37032675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10077779/
Abstract

Brugada syndrome has a lethal arrhythmogenic risk during surgery or anesthesia. Perioperative drugs, electrolytic disturbances, and autonomic imbalance can trigger cardiac rhythm disturbances and even sudden cardiac death. Patients with this syndrome are at high risk during the perioperative period. However, the safest anesthetic management is still unknown. We report successful anesthetic management with peripheral nerve block (five points) using ropivacaine for lower-limb surgery in a patient with Brugada syndrome.

摘要

Brugada综合征在手术或麻醉期间有致心律失常的致死风险。围手术期用药、电解质紊乱和自主神经失衡可引发心律失常，甚至心源性猝死。该综合征患者在围手术期风险很高。然而，最安全的麻醉管理方法仍不明确。我们报告了1例Brugada综合征患者在下肢手术中使用罗哌卡因进行外周神经阻滞（五点法）的成功麻醉管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2406/10077779/b0109b040e7f/SJA-17-91-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2406/10077779/b0109b040e7f/SJA-17-91-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2406/10077779/b0109b040e7f/SJA-17-91-g001.jpg

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本文引用的文献

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Comparison of the onset time between 0.375% ropivacaine and 0.25% levobupivacaine for ultrasound-guided infraclavicular brachial plexus block: a randomized-controlled trial.超声引导锁骨下入路臂丛神经阻滞中 0.375%罗哌卡因与 0.25%左旋布比卡因起效时间的比较：一项随机对照试验。
Sci Rep. 2021 Feb 25;11(1):4703. doi: 10.1038/s41598-021-84172-2.
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Anesthesia and Brugada syndrome: a 12-year case series.麻醉与布加综合征：一项为期12年的病例系列研究。
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Peripheral nerve blocks in the management of postoperative pain: challenges and opportunities.
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J Clin Anesth. 2016 Dec;35:524-529. doi: 10.1016/j.jclinane.2016.08.041. Epub 2016 Oct 20.
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Reg Anesth Pain Med. 2015 Jul-Aug;40(4):395-6. doi: 10.1097/AAP.0000000000000266.
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Brugada syndrome 2012.Brugada 综合征 2012 年诊断与治疗专家共识
Circ J. 2012;76(7):1563-71. doi: 10.1253/circj.cj-12-0717. Epub 2012 Jun 13.
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