Brugada Syndrome: A Review of Peri-operative Management for the Anesthesiologist - Abstract
Brugada syndrome (BS) is a rare cardiac channelopathy that was first described in 1992. It accounts for four percent of all sudden deaths and up to twenty percent of sudden deaths in patients without structural cardiac defects. Since known and unknown BS patients can present for surgery at any time, it is important for the anesthesiologist to be familiar with this syndrome and how to safely manage these patients perioperatively. A case study is described in which a 53 year old woman with BS required emergent embolization of her left facial artery and bilateral internal maxillary arteries due to severe epistaxis on two consecutive days. The etiology, mechanism and proper peri-operative management of BS are then reviewed, and a summary of
appropriate medications is provided.