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Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
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Caesarean section for twin pregnancy in a parturient with Brugada syndrome

J Bramall1, A Combeer, J Springett

  • 1Department of Anaesthesia, St. George's Hospital, London, UK. jbramall@doctors.org.uk

International Journal of Obstetric Anesthesia
|December 25, 2010
PubMed

Brugada syndrome is a common cause of sudden cardiac death. We report the anaesthetic management of a woman with Brugada syndrome for elective caesarean section of twins. There are few reports of this disease in pregnancy and we believe this is the first of elective caesarean section in a parturient with the syndrome. The characteristic electrocardiographic changes of the syndrome are linked to sodium channel blockers including local anaesthetics such as bupivacaine. The use of bupivacaine for intrathecal central neuraxial blockade as well as other drugs commonly used in obstetric anaesthesia is discussed.

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