AI Article Synopsis
- Wolff-Parkinson-White (WPW) syndrome can lead to abnormal heart rhythms, making careful anaesthetic management crucial to avoid complications during surgery.
- In a case study of a 9-year-old boy with WPW undergoing surgery for a broken arm, general anesthesia combined with an infraclavicular brachial plexus block was effectively utilized to manage pain and prevent heart issues, resulting in no complications.
- Sugammadex is highlighted as a safe choice for reversing neuromuscular blockades without side effects, and regional blocks can be performed safely in pediatric WPW patients when done thoughtfully.
Article Abstract
Background: Wolff-Parkinson-White (WPW) syndrome is a rare disease that can cause various patterns of tachyarrhythmias. The main goal of anaesthesiologists for the perioperative anaesthetic management of WPW patients must be to avoid sympathetic stimulation and prevent tachyarrhythmias.
Case: A 9-year-old male patient with a diagnosis of WPW syndrome, who underwent emergency surgery for supracondylar humerus fracture, is presented. General anaesthesia in combination with infraclavicular brachial plexus (ICBP) block was performed successfully without any complications. For the reversal of neuromuscular block, sugammadex was uneventfully used. Intraoperative sympathetic discharge due to surgical intervention was prevented with ICBP block. The ICBP block has also provided good postoperative analgesia.
Conclusions: Sugammadex is a good alternative for the reversal of neuromuscular blocks to avoid the undesirable effects of cholinergic drugs. Peripheral regional blocks that require relatively large doses of local anaesthetics can be safely performed with utmost attention in paediatric WPW patients.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8158309 | PMC |
| http://dx.doi.org/10.2478/rjaic-2020-0002 | DOI Listing |
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Article Synopsis
- Wolff-Parkinson-White (WPW) syndrome can lead to abnormal heart rhythms, making careful anaesthetic management crucial to avoid complications during surgery.
- In a case study of a 9-year-old boy with WPW undergoing surgery for a broken arm, general anesthesia combined with an infraclavicular brachial plexus block was effectively utilized to manage pain and prevent heart issues, resulting in no complications.
- Sugammadex is highlighted as a safe choice for reversing neuromuscular blockades without side effects, and regional blocks can be performed safely in pediatric WPW patients when done thoughtfully.
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