International journal of obstetric anesthesia
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Int J Obstet Anesth
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Int J Obstet Anesth · Apr 2011
Case ReportsCaesarean section for twin pregnancy in a parturient with Brugada syndrome.
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. ⋯ 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.