Anaesthetic management of a patient with Liddle's syndrome for emergency caesarean hysterectomy.
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Affiliation
Department of Anaesthesia, Rotunda Hospital, Dublin, Ireland. nihayes@rotunda.ieIssue Date
2011-04MeSH
AdultAnesthesia, Epidural
Anesthesia, Obstetrical
Anesthesia, Spinal
Carbon Dioxide
Cesarean Section
Emergencies
Female
Humans
Hysterectomy
Liddle Syndrome
Pregnancy
Pregnancy Complications
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Anaesthetic management of a patient with Liddle's syndrome for emergency caesarean hysterectomy. 2011, 20 (2):178-80 Int J Obstet AnesthJournal
International journal of obstetric anesthesiaDOI
10.1016/j.ijoa.2010.10.007PubMed ID
21183332Additional Links
http://www.ncbi.nlm.nih.gov/pubmed/21183332Abstract
We describe the anaesthetic management of a patient with Liddle's syndrome during caesarean section and emergency hysterectomy for placenta accreta associated with significant intrapartum haemorrhage. Liddle's syndrome is a rare autosomal dominant disorder characterised by early onset arterial hypertension and hypokalaemic metabolic alkalosis. Additional issues were the presence of short stature, limb hypertonicity and preeclampsia. Initial management with a low-dose combined spinal-epidural technique was subsequently converted to general anaesthesia due to patient discomfort. The management of Liddle's syndrome in the setting of neuraxial and general anaesthesia in a patient undergoing caesarean section is discussed.Item Type
ArticleLanguage
enISSN
1532-3374ae974a485f413a2113503eed53cd6c53
10.1016/j.ijoa.2010.10.007
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