Perioperative Management in a Patient with WPW Syndrome undergoing Plastic Surgery.

Albanian Journal of Trauma and Emergency Surgery

article

Merita Zeka¹  Marsela Goga¹  Saimir Kuci¹  Alfred Ibrahimi¹  Ervin Bejko¹  Krenar Lilaj¹ 

[1] Department of Anaesthesia, University Hospital Centre “Mother Teresa” Tirana

关键词: WPW;    arrhythmias;    bundle of Kent;    anesthesia;   

DOI  :  10.32391/ajtes.v6i2.287

学科分类：社会科学、人文和艺术（综合）

来源: Albanian Society for Trauma and Emergency Surgery

【 摘 要 】

Perioperative management of patients with preexcitation may become quite challenging, especially if there is no time for adequate preoperative investigation and clinical optimisation, as in emergencies, or even worse, in undiagnosed cases. It is possible that the poorly controlled or unknown underlying electrophysiological abnormality will become unmasked during anaesthesia and surgery, giving rise to potentially life-threatening arrhythmias. In the literature, pre-excitation syndromes have been mainly approached from the view of the disease (i.e., presentation, diagnosis, treatment), while anaesthetic data are scarce. This case report aims to focus on the perioperative management of patients with WPW. Conclusion; Managing such cases provides an opportunity to revisit important considerations on Wolff-Parkinson-White syndrome Avoiding neuromuscular blockers may make a difference in avoiding arrhythmias when laryngeal mask airway / general anaesthesia is required in patients with Wolff-Parkinson-White syndrome. Sympathetic stimulation should be avoided as it may shorten the refractory period of AP and alleviate life-threatening arrhythmias.

【 授权许可】

CC BY-NC