Open AccessThe haemodynamic relevance of peri‐operative arrhythmia in a patient with concomitant Brugada and Sick Sinus Syndrome
Author(s) -
Johannsen Anders,
Friederich Patrick
Publication year - 2016
Publication title -
anaesthesia cases
Language(s) - English
Resource type - Journals
ISSN - 2396-8397
DOI - 10.21466/ac.thropai.2016
Subject(s) - medicine , concomitant , brugada syndrome , sick sinus syndrome , oxygen saturation , perioperative , hemodynamics , cardiology , anesthesia , sinus (botany) , oxygen , chemistry , organic chemistry , botany , biology , genus
Summary Peri‐operative monitoring of brain oxygen saturation with near infrared spectroscopy (NIRS) has been used to identify episodes where the brain oxygen supply is low. We describe a 46‐year‐old patient with Brugada and Sick Sinus Syndrome suffering from sinus arrest during an elective rotator cuff operation in the deck chair position, with a concomitant fall in brain oxygen saturation. This case illustrates that peri‐operative NIRS monitoring can help identify the haemodynamic relevance of cardiac events in patients at risk and can support therapeutic decision‐making.