title: General anesthesia for electroconvulsive therapy with Brugada electrocardiograph pattern.
abstract: Brugada syndrome is characterized by an electrocardiograph pattern of right bundle-branch block and has an increased risk for cardiac arrest due to malignant arrhythmia. We describe the successful anesthetic management for electroconvulsive therapy in a patient with Brugada electrocardiograph pattern. Patients with Brugada ECG pattern are not recommended to use neostigmine which augments ST elevation. Sugammadex was administered as a neuromuscular reversal agent in this case. Sugammadex provides rapid reversal of profound rocuronium-induced neuromuscular blockade under propofol anesthesia.
authors.affiliation: Department of Anesthesiology, Institute of Health Bioscience, University of Tokushima Graduate School, Tokushima, Japan.
authors.forename: Yasuo M
authors.initials: YM
authors.lastname: Tsutsumi
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Tomiyama
authors.forename: Yousuke T
authors.initials: YT
authors.lastname: Horikawa
authors.forename: Yoko
authors.initials: Y
authors.lastname: Sakai
authors.forename: Naohiro
authors.initials: N
authors.lastname: Ohshita
authors.forename: Katsuya
authors.initials: K
authors.lastname: Tanaka
authors.forename: Shuzo
authors.initials: S
authors.lastname: Oshita
mesh_terms: D000768:Anesthesia, General / Q000379:methods*; D053840:Brugada Syndrome / Q000503:physiopathology*; D004562:Electrocardiography; D004565:Electroconvulsive Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D000077122:Sugammadex; D047408:gamma-Cyclodextrins / Q000494:pharmacology
chemical_list: D047408:gamma-Cyclodextrins; D000077122:Sugammadex