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Anesthetic management of a patient with Bartter syndrome

Year 2012, Volume: 39 Issue: 3, 449 - 451, 01.09.2012
https://doi.org/10.5798/diclemedj.0921.2012.03.0179

Abstract

Bartter's syndrome is a rare disorder characterized by severe hypochloremic metabolic alkalosis, hypokalemia, hyponatremia, hyperaldosteronism, elevation in plasma renin activity and insensitivity to angiotensin II. Electrolyte imbalances such as hypomagnesemia, hyponatremia might make anesthetic management difficult in Bartter syndrome. A 4 years old patient underwent surgery for inguinal hernia with caudal anesthesia using bupivacaine 0.25%. In this case report, it was aimed to discuss the anesthetic management of a patient with Bartter syndrome.

References

  • Ledingham JGG. Disorders of potassium metabolism. In: WeatheraU DJ, Ledingham JGG, Warrell DA, eds. Oxford Textbook of Medicine, Vol. 2, 2nd edn. Oxford: Oxford University Press, 1989:18.31-3.
  • Lure GM, Todd JK, O’Brien D. Kidney and urinary tract. In: Kempe CH, Silver HK, O’Brien D, Fulginti VA, eds. Current Pediatric Diagnosis & Treatment 1987, 9th edn. Norwalk: Appleton & Lange, 1993:615.
  • Rasmussen GE, Bell C. Pediatric syndromes and anesthetic implication. In: Bell C, Hughes CW, Oh TH, eds. The Pe- diatric Anesthesia Handbook. St. Louis: Mosby Year Book, 1991: 361.
  • Madrigal G, Saborio P, Mora F, Rincon G, Guay-Woodford LM. Bartter syndrome in Costa Rica: a description of 20 cases. Pediatr Nephrol 1997;11(3):296-301.
  • White MG. Bartter’s syndrome-a manifestation of renal tu- bular defects. Arch Intern Med 1972;129(1):41-7
  • Brimacombe JR, Breen DP. Anesthesia and Bartter’s syn- drome: a case report and review. AANAJ 1993;61(2):193-7.
  • Vetrugno L, Cheli G, Bassi F, Giordano F. Cardiac anesthesia management of a patient with Bartter’s Syndrome. J Car- diothorac Vasc Anesth 2005;19 (3):373-6.
  • Rodriguez-Soriano J. Tubular disorders of electrolyte regula- tion. In: Barratt TM, Avner ED, Harmon WE, eds. Pediat- ric Nephrology, 4th ed. Baltimore: Lippincott Williams & Wilkins, 1999:545-63.
  • Wong KC, Sperry R. What is an acceptable preopera- tive serum potassium level for surgery? Anesthesiology 1994;81(1):269
  • Vitez T. Potassium and the anaesthetist. Can J Anaesth 1987;34(1):30-1.
  • Bevan DR Acute biochemical disorders. In: Vickers MD, Jones RM, eds. Medicine for Anaesthetists, 3rd ed. Oxford: BlaekweU Scientitie Publications, 1989:362-3.
  • Gönen H, Türköz A. Bartter Sendromlu Çocukta Aneste- zi Yönetimi. Turkiye Klinikleri J Anest Reanim 2011;9 (3):219-21.
  • Kannan S, Delph Y, Moseley HS. Anaesthetic management of a child with Bartter’s syndrome. Can J Anaesth 1995;42 (9):808-12.

Bartter sendromlu hastada anestezi yaklaşımı: Olgu sunumu

Year 2012, Volume: 39 Issue: 3, 449 - 451, 01.09.2012
https://doi.org/10.5798/diclemedj.0921.2012.03.0179

Abstract

Bartter Sendromu; ciddi hipokloremik metabolik alkaloz, hipokalemi, hiponatremi, hiperaldosteronizm, plazmada artmış renin aktivitesi, anjiotensin II\'ye karşı duyarsızlıkla karakterize nadir görülen bir hastalıktır. Bartter sendromlu hastalarda hipomagnezemi, hiponatremi gibi anestezik yaklaşımı zorlaştıracak elektrolit bozuklukları mevcuttur. İnguinal herni nedeniyle opere edilecek 4 yaşındaki hastaya %0,25 bupivakainle kaudal anestezi uygulandı. Bu olgu sunumunda Bartter sendromlu bir hastada anestezi yaklaşımının tartışılması amaçlandı.

References

  • Ledingham JGG. Disorders of potassium metabolism. In: WeatheraU DJ, Ledingham JGG, Warrell DA, eds. Oxford Textbook of Medicine, Vol. 2, 2nd edn. Oxford: Oxford University Press, 1989:18.31-3.
  • Lure GM, Todd JK, O’Brien D. Kidney and urinary tract. In: Kempe CH, Silver HK, O’Brien D, Fulginti VA, eds. Current Pediatric Diagnosis & Treatment 1987, 9th edn. Norwalk: Appleton & Lange, 1993:615.
  • Rasmussen GE, Bell C. Pediatric syndromes and anesthetic implication. In: Bell C, Hughes CW, Oh TH, eds. The Pe- diatric Anesthesia Handbook. St. Louis: Mosby Year Book, 1991: 361.
  • Madrigal G, Saborio P, Mora F, Rincon G, Guay-Woodford LM. Bartter syndrome in Costa Rica: a description of 20 cases. Pediatr Nephrol 1997;11(3):296-301.
  • White MG. Bartter’s syndrome-a manifestation of renal tu- bular defects. Arch Intern Med 1972;129(1):41-7
  • Brimacombe JR, Breen DP. Anesthesia and Bartter’s syn- drome: a case report and review. AANAJ 1993;61(2):193-7.
  • Vetrugno L, Cheli G, Bassi F, Giordano F. Cardiac anesthesia management of a patient with Bartter’s Syndrome. J Car- diothorac Vasc Anesth 2005;19 (3):373-6.
  • Rodriguez-Soriano J. Tubular disorders of electrolyte regula- tion. In: Barratt TM, Avner ED, Harmon WE, eds. Pediat- ric Nephrology, 4th ed. Baltimore: Lippincott Williams & Wilkins, 1999:545-63.
  • Wong KC, Sperry R. What is an acceptable preopera- tive serum potassium level for surgery? Anesthesiology 1994;81(1):269
  • Vitez T. Potassium and the anaesthetist. Can J Anaesth 1987;34(1):30-1.
  • Bevan DR Acute biochemical disorders. In: Vickers MD, Jones RM, eds. Medicine for Anaesthetists, 3rd ed. Oxford: BlaekweU Scientitie Publications, 1989:362-3.
  • Gönen H, Türköz A. Bartter Sendromlu Çocukta Aneste- zi Yönetimi. Turkiye Klinikleri J Anest Reanim 2011;9 (3):219-21.
  • Kannan S, Delph Y, Moseley HS. Anaesthetic management of a child with Bartter’s syndrome. Can J Anaesth 1995;42 (9):808-12.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Harun Aydoğan This is me

Tekin Bilgiç This is me

Mahmut Alp Karahan This is me

Şaban Yalçın This is me

Publication Date September 1, 2012
Submission Date March 2, 2015
Published in Issue Year 2012 Volume: 39 Issue: 3

Cite

APA Aydoğan, H., Bilgiç, T., Karahan, M. A., Yalçın, Ş. (2012). Bartter sendromlu hastada anestezi yaklaşımı: Olgu sunumu. Dicle Tıp Dergisi, 39(3), 449-451. https://doi.org/10.5798/diclemedj.0921.2012.03.0179
AMA Aydoğan H, Bilgiç T, Karahan MA, Yalçın Ş. Bartter sendromlu hastada anestezi yaklaşımı: Olgu sunumu. diclemedj. September 2012;39(3):449-451. doi:10.5798/diclemedj.0921.2012.03.0179
Chicago Aydoğan, Harun, Tekin Bilgiç, Mahmut Alp Karahan, and Şaban Yalçın. “Bartter Sendromlu Hastada Anestezi yaklaşımı: Olgu Sunumu”. Dicle Tıp Dergisi 39, no. 3 (September 2012): 449-51. https://doi.org/10.5798/diclemedj.0921.2012.03.0179.
EndNote Aydoğan H, Bilgiç T, Karahan MA, Yalçın Ş (September 1, 2012) Bartter sendromlu hastada anestezi yaklaşımı: Olgu sunumu. Dicle Tıp Dergisi 39 3 449–451.
IEEE H. Aydoğan, T. Bilgiç, M. A. Karahan, and Ş. Yalçın, “Bartter sendromlu hastada anestezi yaklaşımı: Olgu sunumu”, diclemedj, vol. 39, no. 3, pp. 449–451, 2012, doi: 10.5798/diclemedj.0921.2012.03.0179.
ISNAD Aydoğan, Harun et al. “Bartter Sendromlu Hastada Anestezi yaklaşımı: Olgu Sunumu”. Dicle Tıp Dergisi 39/3 (September 2012), 449-451. https://doi.org/10.5798/diclemedj.0921.2012.03.0179.
JAMA Aydoğan H, Bilgiç T, Karahan MA, Yalçın Ş. Bartter sendromlu hastada anestezi yaklaşımı: Olgu sunumu. diclemedj. 2012;39:449–451.
MLA Aydoğan, Harun et al. “Bartter Sendromlu Hastada Anestezi yaklaşımı: Olgu Sunumu”. Dicle Tıp Dergisi, vol. 39, no. 3, 2012, pp. 449-51, doi:10.5798/diclemedj.0921.2012.03.0179.
Vancouver Aydoğan H, Bilgiç T, Karahan MA, Yalçın Ş. Bartter sendromlu hastada anestezi yaklaşımı: Olgu sunumu. diclemedj. 2012;39(3):449-51.