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      Anaesthetic management of Wolff-Parkinson-White syndrome for hysterectomy

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          Abstract

          Wolff–Parkinson–White syndrome (WPW) is an uncommon cardiac disorder having an aberrant pathway between atria and ventricles. We are reporting a known case of WPW syndrome for hysterectomy under combined spinal epidural anaesthesia. Management of the present case is an important pearl to revisit management of WPW syndrome. The perioperative management should be tailored according to the nature of surgery and the clinical presentation of the patient.

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          Most cited references14

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          Bundle-branch block with short P-R interval in healthy young people prone to paroxysmal tachycardia. 1930.

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            Supraventricular tachycardia in pregnancy.

            We present four cases of supraventricular tachycardia in pregnancy of varied aetiology. Risk factors for the development of supraventricular tachycardia and options for obstetric anaesthetic management, during pregnancy, labour, and at Caesarean section are discussed. We recommend the use of adenosine as first line therapy.
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              A case of normalization of Wolff-Parkinson-White syndrome conduction during propofol anesthesia.

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                Author and article information

                Journal
                Indian J Anaesth
                IJA
                Indian Journal of Anaesthesia
                Medknow Publications (India )
                0019-5049
                0976-2817
                Jul-Aug 2011
                : 55
                : 4
                : 378-380
                Affiliations
                [1]Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
                [1 ]Department of Maternal and Reproductive Health, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
                [2 ]Consultant Gynaecology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
                Author notes
                Address for correspondence: Dr. Sandeep Sahu, Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. E-mail: drsandeepsahu@ 123456yahoo.co.in
                Article
                IJA-55-378
                10.4103/0019-5049.84866
                3190513
                22013255
                27ed0cd5-d397-44ae-bfc7-3911f19f51c6
                Copyright: © Indian Journal of Anaesthesia

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Anesthesiology & Pain management
                wolff–parkinson–white syndrome,re-entral phenomenon,regional anaesthesia,combined spinal epidural block

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