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Sugammadex Use in a Patient with Wolff-Parkinson-White (WPW) Syndrome
(2015) Şahin, Sevtap Hekimoğlu; Öztekin, İlhan; Kuzucuoğlu, Aytuna; Aslanoğlu, Ayça
Background: Wolff-Parkinson-White (WPW) syndrome is a disease associated with episodes of supra- ventricular tachycardia and ventricular pre-excitation or atrial fibrillation. WPW is characterized by an aber- rant electrical conduction pathway between atria and ventricles. Case Report: The major anesthetic problem connected with WPW syndrome is the risk of tachyarrhythmias due to accessory pathway. Therefore, it has been pro- posed that the aim of anesthetic management should be the avoidance of tachyarrhythmia and sympathetic stimulation. Sugammadex was administered as a neu- romuscular reversal agent in this case. To our knowl- edge, this is the first case report of sugammadex use in a patient with WPW. This report presents a case of general anesthesia management in a patient with WPW syndrome. Conclusion: We think that it is appropriate to use su- gammadex to reverse rocuronium for the prevention of sudden hemodynamic changes in patients with WPW who underwent general anesthesia.