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Case Report

Continuous Spinal is Safe in a Patient with Wolff-ParkinsonWhite syndrome for Hysterectomy

Ravi Madhusudhana, null, Monisha B 1 null, Ravi Madhusudhana 2 null, Nagaseshu Kumari Vasantha 3 null, Sinchana Bhagavan 4 null

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Indian Journal of Anesthesia and Analgesia 9(4):p 183-186, july-august 2022. | DOI: https://doi.org/10.21088/ijaa.2349.8471.9322.19

How Cite This Article:

Monisha B, Ravi Madhusudhana, Nagaseshu Kumari Vasantha, et al./Continuous Spinal is Safe in a Patient with Wolff-Parkinson-White Syndrome for Hysterectomy/Indian J Anesth Analg. 2022;9(4):183-186

Timeline

Received : April 19, 2022         Accepted : May 25, 2022          Published : August 18, 2022

Abstract

Introduction: Wolff–Parkinson-White syndrome (WPW) is an uncommon cardiac disorder where there is an  abnormal band of atrial tissue that connects atria and ventricles. Continuous spinal anesthesia is preferred to avoid  multidrug administration and stimulus due to laryngoscopy. Case Report: A 47 yrs old female, known case of WPW syndrome was posted for hysterectomy. Pre-anesthetic  evaluation was done. A 12 lead ECG was done which showed left axis deviation, short PR interval and delta waves.  The 2D – Echo showed thickened MV leaflets with grade-1 MR with normal LV systolic function and EF of 60%.  The case was planned to be taken under continuous spinal anesthesia. The Anti-Arrhythmic drugs and  Defibrillator were kept ready. Intermittent boluses of Inj. Bupivacaine (H) 0.5% was given through catheter to  achieve sensory and motor blockade. Inj. Fentanyl 25mcg was given at the end of the procedure as analgesic dose.  Intra operative vitals were stable. Postoperative period was uneventful. Conclusion: Patient with WPW Syndrome can be managed successfully by continuous spinal anesthesia  technique which uses low dose of anesthetic helps in maintaining cardiovascular stability intraoperatively and  duration can be extended if surgery is prolonged. Keywords: Continuous Spinal Anesthesia, WPW Syndrome, Ventricular Tachycardia. Key Messages: Hemodynamic changes can occur with WPW syndrome with arrhythmias. This can be avoided  with definitive treatment like Radiofrequency ablation. Our patient came with WPW Syndrome with stable  hemodynamics so continuous spinal anesthesia can offer stable hemodynamics with minimum use of local  anesthetics. We are reporting a case of WPW Syndrome with successful anesthetic management

References

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

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Cite this article

Monisha B, Ravi Madhusudhana, Nagaseshu Kumari Vasantha, et al./Continuous Spinal is Safe in a Patient with Wolff-Parkinson-White Syndrome for Hysterectomy/Indian J Anesth Analg. 2022;9(4):183-186

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
April 19, 2022 May 25, 2022 August 18, 2022
DOI: https://doi.org/10.21088/ijaa.2349.8471.9322.19

Keywords

Continuous Spinal AnesthesiaWPW SyndromeVentricular Tachycardia.WPW SyndromeVentricular Tachycardia.

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Timeline

Received April 19, 2022
Accepted May 25, 2022
Published August 18, 2022

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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