Abstract
The Wolff-Parkinson-White (WPW) syndrome is an important clinical entity because of its recurrent tachyarrythmia attack. Recently surgical procedure, division of the accessory pathway, has been conducted for the treatment of this syndrome. In the anesthetic management of this procedure, it was required that prevention of the re-entrant tachycardia which reduce blood pressure and preservation of the delta wave during the epicardial mapping to determine the precise localization of accessory pathway.
Present retrospective study was aimed at evaluating the anesthetic method for the surgical procedure performed in the past 8 years. Sixty cases of the anesthesia were investigated and following results were obtained.
(1) Re-entrant tachycardia episodes in GOF anesthesia were less frequent than those in GO-Diazepam-Ketamine anesthesia.
(2) As far as delta wave was concerned, it was well preserved in GODK anesthesia, however, it was disappeared about 20% of the GOF cases before epicardial mapping.
Since re-entrant tachycardia could be easily suppressed by the overdrive pacing employing pace maker, it was no more big problem to manage this syndrome. Therefore GODK anesthesia would be recommended as the anesthetic method for this surgical procedure because delta wave was essential to determine the precise localization of the accessory pathway.
