Epidural analgesia in a parturient with Brugada syndrome

Sleipness, Evan P.; Gonzalez, Sara C.

doi:10.1016/j.jclinane.2020.109944

Cited by 2 publications

(2 citation statements)

References 5 publications

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“… 8 Of the remaining four cases, two were individual reports of ropivacaine epidurals that provided effective labor analgesia and were uneventful. 15 , 16 The final two individual cases reported the use of epidural bupivacaine, one for labor which was uneventful and the other placed in the thoracic region and combined with GA. 17 , 18 All authors noted the use of low dose or specially concocted infusions in addition to careful titration of local anesthetic, especially when redosing.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Lower Extremity Peripheral Nerve Blocks for Post-operative Pain Control in a Multi-trauma Patient with Brugada Syndrome: A Literature Review and Case Report

Bergbower,

Lorico,

Kaur

et al. 2024

Journal of Community Hospital Internal Medicine Perspectives

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We describe the case of a 28-year-old man with Brugada syndrome who received single-shot adductor canal and sciatic nerve blocks for the management of post-operative pain related to extensive orthopedic injuries. Low-dose ropivacaine with glucocorticoid additives was administered without any EKG changes, arrhythmias, or syncopal sensations. The patient experienced pain relief for over 24 h and was monitored on telemetry with defibrillator pads as a cardiac precaution. This case adds a valuable data point in the limited canon of information on the safety and efficacy of regional anesthesia in Brugada syndrome for the perioperative physician.

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Lower Extremity Peripheral Nerve Blocks for Post-operative Pain Control in a Multi-trauma Patient with Brugada Syndrome: A Literature Review and Case Report

Bergbower,

Lorico,

Kaur

et al. 2024

Journal of Community Hospital Internal Medicine Perspectives

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“…Indeed, while bupivacaine has been used intrathecally [18,19], it has been implicated in the induction of a Brugada-type ECG pattern when administered via epidural catheter [20]. Ropivacaine has been used as an epidural infusion in patients with Brugada syndrome [21,22], although one patient developed ventricular tachycardia after bilateral paravertebral blockade with Ropivacaine [23].…”

Section: Discussionmentioning

confidence: 99%

Labor Analgesia in Brugada Syndrome and the Importance of Contingency Planning

Mena

Costa

DeLemos

et al. 2022

Case Reports in Anesthesiology

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Brugada syndrome is an autosomal dominant disorder that affects cardiac sodium channels and predisposes patients to an increased risk of sudden cardiac death. Obstetric anesthesia management in patients with Brugada syndrome poses a challenge due to the prevalence of local anesthetic use for labor analgesia or cesarean section. However, central neuraxial techniques and local anesthetics have been used safely in parturients with this syndrome and may be offered to patients during preadmission counseling. We present the case of a primigravida who opted for further labor analgesia via a combined spinal-epidural technique. To our knowledge, this is the first case report of a lidocaine infusion administered via an epidural catheter to a laboring parturient with Brugada syndrome. We further discuss the use of local anesthetics, other medications, and central neuraxial techniques in those with Brugada syndrome to assist anesthesiologists caring for expectant mothers.

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Epidural analgesia in a parturient with Brugada syndrome

Cited by 2 publications

References 5 publications

Lower Extremity Peripheral Nerve Blocks for Post-operative Pain Control in a Multi-trauma Patient with Brugada Syndrome: A Literature Review and Case Report

Lower Extremity Peripheral Nerve Blocks for Post-operative Pain Control in a Multi-trauma Patient with Brugada Syndrome: A Literature Review and Case Report

Labor Analgesia in Brugada Syndrome and the Importance of Contingency Planning

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