Anesthetic Management for Perioperative Hemodynamic Stability in a Patient with Wolff-Parkinson-White Syndrome for Laparoscopic Cholecystectomy

Anesthetic Management for Perioperative Hemodynamic Stability in a Patient with Wolff-Parkinson-White Syndrome for Laparoscopic Cholecystectomy

Wolff-Parkinson-White syndrome (WPW) is a common disorder of the conduction system of the heart. Patients with such disorder may be asymptomatic or present with cardiac symptoms like palpitation and dyspnea. The anesthetic management of these patients is challenging as they are known to develop life threatening tachyarrhythmia. We report a hemodynamic management of a 53-year-old male with WPW syndrome scheduled for laparoscopic cholecystectomy under general anesthesia. We performed total intravenous anesthesia with propofol and remifentanil, and we placed the laryngeal mask airway behind the endotracheal tube using Bailey s Maneuver before extubation of endotracheal tube.