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KMID : 0352120190340010037
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Journal of Kyung Hee University
2019 Volume.34 No. 1 p.37 ~ p.40
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General Anesthetic Management of a Patient with Gitelman Syndrome: A Case Report
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Kim Tae-Jun
Yi Jae-Woo
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Abstract
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Gitelman syndrome is a rare autosomal recessive salt-losing renal tubulopathy characterised by hypomagnesemia, hypocalciuria and secondary aldosteronism, which results in hypokalemia and metabolic alkalosis. Acute exacerbation of the hypokalemia and the metabolic alkalosis may interfere with surgery and general anesthesia. Anesthesiologists should be aware of pathogenesis and clinical sypmtoms of Gitelman syndrome to prevent possible complications during perioperative period. It is important to keep an eye on the electrolytes and pH during and after surgery.
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KEYWORD
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Gitelman syndrome, Hypokalemia, Metabolic alkalosis, General anesthesia
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