title: Rocuronium and sugammadex used effectively for electroconvulsive therapy in a patient with Brugada syndrome.
abstract: We report the successful anesthetic management of a patient with Brugada syndrome who underwent electroconvulsive therapy to treat bipolar disorder. Suxamethonium and neostigmine were contraindicated to avoid the vagotonic effects that can precipitate ventricular fibrillation during anesthesia in patients with Brugada syndrome. The combination of 1.2 mg/kg rocuronium and 10 mg/kg sugammadex was effectively and safely used to induce and antagonize neuromuscular block for 8 consecutive electroconvulsive therapy sessions in this patient.
authors.forename: Junpei
authors.initials: J
authors.lastname: Konishi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Suzuki
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kondo
authors.forename: Miyako
authors.initials: M
authors.lastname: Baba
authors.forename: Setsuro
authors.initials: S
authors.lastname: Ogawa
mesh_terms: D000732:Androstanols / Q000009:adverse effects / Q000037:antagonists & inhibitors; D000758:Anesthesia / Q000379:methods*; D000762:Anesthesia Recovery Period; D001714:Bipolar Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy; D053840:Brugada Syndrome / Q000150:complications*; D002037:Bundle-Branch Block / Q000150:complications; D004562:Electrocardiography; D004565:Electroconvulsive Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D003473:Neuromuscular Nondepolarizing Agents / Q000009:adverse effects / Q000037:antagonists & inhibitors; D000077123:Rocuronium; D000077122:Sugammadex; D047408:gamma-Cyclodextrins
chemical_list: D000732:Androstanols; D003473:Neuromuscular Nondepolarizing Agents; D047408:gamma-Cyclodextrins; D000077122:Sugammadex; D000077123:Rocuronium