Lower Extremity Peripheral Nerve Blocks for Post-operative Pain Control in a Multi-trauma Patient with Brugada Syndrome: A Literature Review and Case Report

Authors

Emily Anne Smith Bergbower, Department of Anesthesiology, University of Maryland Medical Center, BaltimoreFollow
Andrea Sunga Lorico, Department of Anesthesiology, University of Maryland Medical Center, Baltimore
Kiranjot Kaur, Department of Anesthesiology, University of Maryland Medical Center, Baltimore
Jason Brookman, Department of Anesthesiology, University of Maryland Medical Center, Baltimore
Guy Weinberg, Department of Anesthesiology, University of Illinois College of Medicine, Chicago
Samuel Onyewu, Department of Anesthesiology, University of Maryland Medical Center, Baltimore

Abstract

We describe the case of a 28-year-old man with Brugada syndrome who received single-shot adductor canal and sciatic nerve blocks for the management of postoperative pain related to extensive orthopedic injuries. Low-dose ropivacaine with glucocorticoid additives was administered without any EKG changes, arrhythmias, or syncopal sensations. The patient experienced pain relief for over 24 hours and was monitored on telemetry with defibrillator pads as a cardiac precaution. This case adds a valuable data point in the limited canon of information on the safety and efficacy of regional anesthesia in Brugada syndrome for the perioperative physician.

Recommended Citation

Bergbower, Emily Anne Smith; Lorico, Andrea Sunga; Kaur, Kiranjot; Brookman, Jason; Weinberg, Guy; and Onyewu, Samuel (2024) "Lower Extremity Peripheral Nerve Blocks for Post-operative Pain Control in a Multi-trauma Patient with Brugada Syndrome: A Literature Review and Case Report," Journal of Community Hospital Internal Medicine Perspectives: Vol. 14: Iss. 2, Article 25.
DOI: 10.55729/2000-9666.1315
Available at: https://scholarlycommons.gbmc.org/jchimp/vol14/iss2/25