Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2011  |  Volume : 55  |  Issue : 4  |  Page : 381-383

Anaesthetic management of a case of Wolff-Parkinson-White syndrome


Department of Anesthesia, KIMS Hubli, Karnataka, India

Correspondence Address:
Savitri D Kabade
G.O. Quarters 7/3, KIMS Campus, Vidyanagar, Hubli - 580 021, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.84868

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We report a case of fibroid uterus with Wolff-Parkinson-White (WPW) syndrome in a 48-year-old female, posted for elective hysterectomy. Patient gave history of short recurrent episodes of palpitation and electrocardiograph confirmed the diagnosis of WPW syndrome. The anaesthetic management of these patients is challenging as they are known to develop life threatening tachyarrhythmia like paroxysmal supra-ventricular tachycardia (PSVT) and atrial fibrillation (AF). Epidural anaesthesia is preferred compared to general anaesthesia to avoid polypharmacy, noxious stimuli of laryngoscopy and intubation. To deal with perioperative complications like PSVT and AF, anti-arrhythmic drugs like adenosine, beta blockers and defibrillator should be kept ready. Perioperative monitoring is essential as patients can develop complications.


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