Open AccessAnaesthesia for emergency caesarean section in a patient with Gitelman syndrome
Author(s) -
Sarath Venugopalan,
Nitu Puthenveettil,
Sudarsan Rajan,
Jerry Paul
Publication year - 2020
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/ija.ija_40_20
Subject(s) - medicine , hypocalcaemia , metabolic alkalosis , bartter syndrome , hypokalemia , caesarean section , pediatrics , gitelman syndrome , magnesium deficiency (plants) , tetany , pregnancy , anesthesia , intensive care medicine , hypomagnesemia , calcium , magnesium , materials science , biology , metallurgy , genetics
Gitelman syndrome is a rare autosomal recessive salt-losing disorder of renal tubules, which results in hypokalemic metabolic alkalosis. Associated hypomagnesaemia and hypocalcaemia are also seen. Gitelman syndrome is a variant of renal Bartter's syndrome. Anaesthetic management of these obstetric patients is challenging and requires a careful multidisciplinary approach. Close monitoring of potassium and magnesium levels and their supplementation is required to avoid complications to mother and baby.