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Anesthetic Considerations for Cesarean Delivery in a Parturient With Severe Gitelman Syndrome
Gitelman syndrome is an autosomal recessive inherited disorder that impairs the function of thiazide-sensitive sodium-chloride cotransporters in the distal convoluted tubule of the nephron. During labor and delivery, avoidance of sympathetic overactivity, meticulous hemodynamic monitoring, and exped...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9313132/ https://www.ncbi.nlm.nih.gov/pubmed/35911322 http://dx.doi.org/10.7759/cureus.26260 |
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author | Smith, Kathleen A Reynolds, Monica L Chang, Emily H Strauss, Robert A Straube, Lacey E |
author_facet | Smith, Kathleen A Reynolds, Monica L Chang, Emily H Strauss, Robert A Straube, Lacey E |
author_sort | Smith, Kathleen A |
collection | PubMed |
description | Gitelman syndrome is an autosomal recessive inherited disorder that impairs the function of thiazide-sensitive sodium-chloride cotransporters in the distal convoluted tubule of the nephron. During labor and delivery, avoidance of sympathetic overactivity, meticulous hemodynamic monitoring, and expedited repletion of potassium and magnesium are required to avoid adverse outcomes. We present a parturient with severe Gitelman syndrome, requiring continuous electrolyte and fluid infusions, who underwent successful cesarean delivery. Potential severe morbidity was avoided with multidisciplinary planning and management. |
format | Online Article Text |
id | pubmed-9313132 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-93131322022-07-29 Anesthetic Considerations for Cesarean Delivery in a Parturient With Severe Gitelman Syndrome Smith, Kathleen A Reynolds, Monica L Chang, Emily H Strauss, Robert A Straube, Lacey E Cureus Anesthesiology Gitelman syndrome is an autosomal recessive inherited disorder that impairs the function of thiazide-sensitive sodium-chloride cotransporters in the distal convoluted tubule of the nephron. During labor and delivery, avoidance of sympathetic overactivity, meticulous hemodynamic monitoring, and expedited repletion of potassium and magnesium are required to avoid adverse outcomes. We present a parturient with severe Gitelman syndrome, requiring continuous electrolyte and fluid infusions, who underwent successful cesarean delivery. Potential severe morbidity was avoided with multidisciplinary planning and management. Cureus 2022-06-23 /pmc/articles/PMC9313132/ /pubmed/35911322 http://dx.doi.org/10.7759/cureus.26260 Text en Copyright © 2022, Smith et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anesthesiology Smith, Kathleen A Reynolds, Monica L Chang, Emily H Strauss, Robert A Straube, Lacey E Anesthetic Considerations for Cesarean Delivery in a Parturient With Severe Gitelman Syndrome |
title | Anesthetic Considerations for Cesarean Delivery in a Parturient With Severe Gitelman Syndrome |
title_full | Anesthetic Considerations for Cesarean Delivery in a Parturient With Severe Gitelman Syndrome |
title_fullStr | Anesthetic Considerations for Cesarean Delivery in a Parturient With Severe Gitelman Syndrome |
title_full_unstemmed | Anesthetic Considerations for Cesarean Delivery in a Parturient With Severe Gitelman Syndrome |
title_short | Anesthetic Considerations for Cesarean Delivery in a Parturient With Severe Gitelman Syndrome |
title_sort | anesthetic considerations for cesarean delivery in a parturient with severe gitelman syndrome |
topic | Anesthesiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9313132/ https://www.ncbi.nlm.nih.gov/pubmed/35911322 http://dx.doi.org/10.7759/cureus.26260 |
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