我们描述了一名28岁的Brugada综合征患者的病例,该患者接受了单发内收肌管和坐骨神经阻滞,以治疗与广泛的骨科损伤有关的术后疼痛。低剂量罗哌卡因与糖皮质激素添加剂的给药没有任何心电图变化,心律失常,或者晕厥感。患者疼痛缓解超过24小时,并在遥测中使用除颤器垫进行监测,作为心脏预防措施。该病例为围手术期医师提供了关于Brugada综合征区域麻醉的安全性和有效性的有限资料。
We describe the
case of a 28-year-old man with Brugada syndrome who received single-shot adductor canal and sciatic nerve blocks for the management of post-operative pain related to extensive orthopedic injuries. Low-dose ropivacaine with glucocorticoid additives was administered without any EKG changes, arrhythmias, or syncopal sensations. The patient experienced pain relief for over 24 h and was monitored on telemetry with defibrillator pads as a cardiac precaution. This
case adds a valuable data point in the limited canon of information on the safety and efficacy of regional anesthesia in Brugada syndrome for the perioperative physician.