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引用次数: 0
摘要
背景：在全身麻醉期间，Brugada 综合征患者有可能在 ST 段抬高恶化后发生恶性心律失常，从而导致心脏性猝死。Brugada 综合征患者的安全麻醉管理方案尚未确立：一名 63 岁的男性被诊断为自发性 Brugada 1 型，计划在全身麻醉下使用视频辅助胸腔镜手术进行胸膜活检。我们计划使用七氟醚和瑞芬太尼进行挥发性诱导和维持麻醉。我们监测了ST段形态，观察到ST段抬高在整个全身麻醉过程中持续缓解：本病例可能表明，对 Brugada 综合征患者的安全麻醉管理取决于所使用的麻醉剂能否减轻 ST 段抬高。
Sustained mitigation of ST-segment elevation in a patient with Brugada syndrome type 1 during sevoflurane and remifentanil anesthesia: a case report.
Background: During general anesthesia, patients with Brugada syndrome are at risk of malignant arrhythmias following worsened ST-segment elevation, potentially leading to sudden cardiac death. The protocol for safe anesthetic management of patients with Brugada syndrome has not yet been established.
Case presentation: A 63-year-old man, diagnosed with a spontaneous Brugada type 1 pattern, was scheduled for a pleural biopsy using video-assisted thoracoscopic surgery under general anesthesia. We planned general anesthesia using volatile induction and maintenance anesthesia with sevoflurane and remifentanil. We monitored ST-segment morphology and observed sustained mitigation of ST-segment elevation throughout general anesthesia.
Conclusion: The present case may indicate that safe anesthetic management of patients with Brugada syndrome depends on whether the anesthetics used can reduce ST-segment elevation.
期刊介绍：
JA Clinical Reports is a companion journal to the Journal of Anesthesia (JA), the official journal of the Japanese Society of Anesthesiologists (JSA). This journal is an open access, peer-reviewed, online journal related to clinical anesthesia practices such as anesthesia management, pain management and intensive care. Case reports are very important articles from the viewpoint of education and the cultivation of scientific thinking in the field of anesthesia. However, submissions of anesthesia research and clinical reports from Japan are notably decreasing in major anesthesia journals. Therefore, the JSA has decided to launch a new journal, JA Clinical Reports, to encourage JSA members, particularly junior Japanese anesthesiologists, to publish papers in English language.
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