title: Sugammadex Use in a Patient with Wolff-Parkinson-White (WPW) Syndrome.
abstract: BACKGROUND
  Wolff-Parkinson-White (WPW) syndrome is a disease associated with episodes of supraventricular tachycardia and ventricular pre-excitation or atrial fibrillation. WPW is characterized by an aberrant electrical conduction pathway between atria and ventricles.
  
  
  METHODS
  The major anesthetic problem connected with WPW syndrome is the risk of tachyarrhythmias due to accessory pathway. Therefore, it has been proposed that the aim of anesthetic management should be the avoidance of tachyarrhythmia and sympathetic stimulation. Sugammadex was administered as a neuromuscular reversal agent in this case. To our knowledge, this is the first case report of sugammadex use in a patient with WPW. This report presents a case of general anesthesia management in a patient with WPW syndrome.
  
  
  CONCLUSIONS
  We think that it is appropriate to use sugammadex to reverse rocuronium for the prevention of sudden hemodynamic changes in patients with WPW who underwent general anesthesia.
authors.affiliation: Department of Anesthesiology and Reanimation, Trakya University Faculty of Medicine, Edirne, Turkey.
authors.forename: Sevtap Hekimoğlu
authors.initials: SH
authors.lastname: Şahin
authors.affiliation: Department of Anesthesiology and Reanimation, Trakya University Faculty of Medicine, Edirne, Turkey.
authors.forename: İlhan
authors.initials: İ
authors.lastname: Öztekin
authors.affiliation: Department of Anesthesiology and Reanimation, Trakya University Faculty of Medicine, Edirne, Turkey.
authors.forename: Aytuna
authors.initials: A
authors.lastname: Kuzucuoğlu
authors.affiliation: Department of Anesthesiology and Reanimation, Trakya University Faculty of Medicine, Edirne, Turkey.
authors.forename: Ayça
authors.initials: A
authors.lastname: Aslanoğlu
keywords: General anesthesia; Wolff-Parkinson-White syndrome; sugammadex