Aliases:
LCSD
Cardiac sympathectomy

Topic aliases are alternate phrasings for a particular topic.


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Long qt-syndrome

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Indicated for patients with Catecholaminergic polymorphic-ventricular-tachycardia that continue to have cardiac arrhythmias or frequent shocks from ICDs, or do not tolerate pharmacotherapy.
dx.doi.org/10.1111/j.1460...

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Pacemaker technician will need to be available on the day to reprogram the pacemaker perioperatively. Ideally they should be available throughout the entire case to turn the pacemaker off and on.

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Midazolam is an acceptable premedication as it does not prolong the QT interval.
Consider avoiding Ketamine as it can result in sympathetic stimulation
dx.doi.org/10.1111/j.1460...

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Preoperative beta blockers will usually be continued to and administered the day of surgery.

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Ensure the defibrillator is in the room

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Place ECG and defibrillation pads on prior to induction and deactivation of th patient's AICD and have the patient connected to the defibrillator.

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Consider avoiding suxamethonium due to its potential for vagal stimulation and elevation in serum potassium.
dx.doi.org/10.1111/j.1460...

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Consider having esmolol available in theater in the event an infusion is required to control arrhythmias.

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Access will usually be via a thoracoscopy or thoracotomy

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Review of the anaesthetic management of 22 cases in patients with catecholaminergic polymorphic-ventricular-tachycardia or long qt-syndrome undergoing cardiac sympathectomy.

Pediatric Anesthesia 2010 20: 465–470 dx.doi.org/10.1111/j.1460...

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