Vitreoretinal Surgery Under Sub-Tenon's Block and Conscious Sedation in a Patient with Brugada Syndrome: A Case Report and Literature Review.
Kumar, Chandra M Vohra, Shashi B Farahmand Rad, Reza
Kumar, Chandra M
Vohra, Shashi B
Farahmand Rad, Reza
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Affiliation
Sandwell and West Birmingham NHS Trust; Khoo Teck Puat Hospital; Iran University of Medical Sciences
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Publication date
2021-11-07
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Abstract
Brugada syndrome (BrS), a type of sudden arrhythmic unexpected death syndrome (SADS), is characterized by specific electrocardiogram (ECG) changes, a structurally normal heart, and susceptibility to life-threatening ventricular arrhythmias. General anesthesia (GA) is usually used for major surgery in patients with BrS due to concerns that some local anesthetic agents may precipitate critical arrhythmias. The majority of ophthalmic surgeries are successfully carried out under regional anesthesia (RA). The literature does not address the use of ophthalmic RA in patients with BrS except one report of peribulbar block for glaucoma surgery. This clinical case report and the liertature review suggests that for BrS patients presenting for vitreoretinal surgery, a sub-tenon block, with or without sedation may safely be used as a primary anaethestic technique.
Citation
Kumar CM, Vohra SB, Farahmand Rad R. Vitreoretinal Surgery Under Sub-Tenon's Block and Conscious Sedation in a Patient with Brugada Syndrome: A Case Report and Literature Review. Anesth Pain Med. 2021 Nov 7;11(5):e120217. doi: 10.5812/aapm.120217.
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