title: [Sectio and Brugada syndrome].
abstract: Brugada syndrome (BS) is an inherited cardiac disease with increased risk of ventricular tachyarrythmias, cardiac arrest and sudden death. BS is diagnosed on various criteria including specific electrocardiographic abnormalities in a structurally normal heart. Many drugs have been reported to induce fatal arrhythmias in patients with BS and in particular sodium channel blockers i.e. local anaesthetics such as bupivacaine. We report the anaesthetic management of two women with BS during caesarean section and provide a general discussion on the use of bupivacain for neuraxial blockade for patients with BS.
authors.affiliation: henriette_ammundsen@dadlnet.dk.
authors.forename: Henriette Berg
authors.initials: HB
authors.lastname: Ammundsen
authors.forename: Kim
authors.initials: K
authors.lastname: Ekelund
authors.forename: Arash
authors.initials: A
authors.lastname: Afshari
authors.forename: Charlotte Krebs
authors.initials: CK
authors.lastname: Albrechtsen
mesh_terms: D000328:Adult; D000779:Anesthetics, Local / Q000009:adverse effects / Q000627:therapeutic use*; D053840:Brugada Syndrome / Q000150:complications*; D002045:Bupivacaine / Q000009:adverse effects / Q000627:therapeutic use*; D002585:Cesarean Section; D004562:Electrocardiography; D005260:Female; D006801:Humans; D011247:Pregnancy
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine