|RESPONSE TO COMMENTS
|Year : 2018 | Volume
| Issue : 2 | Page : 155
The baffling issues of Brugada electrocardiogram pattern for anaesthesiologist!
MC Rajesh, Sushma Kondi, EK Ramdas
Department of Anaesthesia, Baby Memorial Hospital, Calicut, Kerala, India
|Date of Web Publication||12-Feb-2018|
Dr. M C Rajesh
Shrirang, Opp Tel Exchange, Chevayur (PO), Calicut - 673 017, Kerala
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Rajesh M C, Kondi S, Ramdas E K. The baffling issues of Brugada electrocardiogram pattern for anaesthesiologist!. Indian J Anaesth 2018;62:155
|How to cite this URL:|
Rajesh M C, Kondi S, Ramdas E K. The baffling issues of Brugada electrocardiogram pattern for anaesthesiologist!. Indian J Anaesth [serial online] 2018 [cited 2020 Jul 5];62:155. Available from: http://www.ijaweb.org/text.asp?2018/62/2/155/225216
Thank you for the comments on the article, especially from the pioneers who have contributed a lot in defining the disease., It is not only the selection of drugs and anaesthesia techniques that are ill defined but also issues such as the need to do electrophysiologic studies and automatic cardioverter defibrillator insertion before surgery in asymptomatic patients with Brugada electrocardiogram pattern. With a paucity of large multicentric studies on the subject, we feel the decision should be individualised depending on the extent and duration of procedure.
Another question to be addressed is the safety of central neuraxial and plexus blocks considering the propensity of local anaesthetics to block sodium channels. These are really important issues considering the fact that the syndrome is more common in the Asian population and many patients may be asymptomatic before surgery!
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Dendramis G, Baranchuk A, Brugada P. Anaesthetic management of patients with Brugada syndrome. Indian J Anaesth 2018;62:154. [Full text]
Rajesh MC, Kondi S, Ramdas EK. The baffling issues of Brugada electrocardiogram pattern for anaesthesiologist! Indian J Anaesth 2017;61:857-9.