title: General anaesthesia for insertion of an automated implantable cardioverter defibrillator in a child with Brugada and autism.
abstract: A 14-year-old autistic boy presented with acute gastroenteritis and hypotension. The electrocardiogram showed a ventricular fibrillation rhythm - he went into cardiorespiratory arrest and was immediately resuscitated. On investigation, the electrocardiogram showed a partial right bundle branch block with a "coved" pattern of ST elevation in leads v(1)-v(3). A provisional diagnosis of Brugada syndrome was made, for which an automated implantable cardioverter defibrillator (AICD) implantation was advised. Although the automated implantable cardioverter defibrillator implantation is usually performed under sedation, because this was an autistic child, he needed general anaesthesia. We performed the procedure uneventfully under general anaesthesia and he was discharged after a short hospital stay.
authors.affiliation: Department of Anaesthesiology, P.D. Hinduja Hospital and Research Centre, Mumbai, India.
authors.forename: Shwetal
authors.initials: S
authors.lastname: Goraksha
authors.forename: Sneha
authors.initials: S
authors.lastname: Bidaye
authors.forename: Supriya
authors.initials: S
authors.lastname: Gajendragadkar
authors.forename: Jitendra
authors.initials: J
authors.lastname: Bapat
authors.forename: Manju
authors.initials: M
authors.lastname: Butani