Anesthetic management of a patient with Bartter syndrome

Autor:	AYDOĞAN, Harun, BİLGİÇ, Tekin, KARAHAN, Mahmut Alp, YALÇIN, Şaban
Jazyk:	turečtina
Rok vydání:	2015
Předmět:	Regional anesthesia Bartter syndrome inguinal hernia surgery pediatric anesthesia endocrine system diseases nutritional and metabolic diseases urologic and male genital diseases Rejyonel anestezi Bartter Sendromu inguinal herni ameliyatı pediatrik anestezi
Zdroj:	Volume: 39, Issue: 3 449-451 Dicle Tıp Dergisi
ISSN:	1300-2945 1308-9889
Popis:	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. 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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=tubitakulakb::e63cc04732561df306827eb2205a2113 https://dergipark.org.tr/tr/pub/dicletip/issue/4705/64277 Zobrazit plný text záznamu