Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2020  |  Volume : 64  |  Issue : 6  |  Page : 524-526

Anaesthesia for emergency caesarean section in a patient with Gitelman syndrome


Department of Anaesthesia and Critical Care, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Correspondence Address:
Dr. Nitu Puthenveettil
Department of Anaesthesia and Critical Care, Amrita Vishwa Vidyapeetham, Kochi - 682 024, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_40_20

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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.


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