Anesthetic management of a patient with Bartter′s syndrome undergoing bilateral sagittal split osteotomy

Bartter′s syndrome is an unusual (estimated incidence is 1.2 per million people) but important congenital form of secondary hyperaldosteronism; due to abnormalities in renal handling of electrolytes. It is associated with hypertrophy and hyperplasia of the juxtaglomerular cells, normal blood pressur...

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Main Authors: Nasser Nooh, Walid Abdullah, Saad Sheta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2012;volume=6;issue=4;spage=419;epage=422;aulast=Nooh
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author Nasser Nooh
Walid Abdullah
Saad Sheta
author_facet Nasser Nooh
Walid Abdullah
Saad Sheta
author_sort Nasser Nooh
collection DOAJ
description Bartter′s syndrome is an unusual (estimated incidence is 1.2 per million people) but important congenital form of secondary hyperaldosteronism; due to abnormalities in renal handling of electrolytes. It is associated with hypertrophy and hyperplasia of the juxtaglomerular cells, normal blood pressure, and hypokalemic alkalosis withoutedema.We present a 22-year-old woman with Bartter′s syndrome underwent bilateral sagittal split osteotomy to correct mandibular prognathic. The anesthetic management of Bartter′s syndrome should be relevant to the pathophysiology of the syndrome. Therefore, it should be directed toward maintaining cardiovascular stability, control of associated fluid, electrolyte and acid-base derangements, and the prevention of renal damage.
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spelling doaj.art-bd825c2723974710bb985160722dcba62022-12-21T17:58:07ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2012-01-016441942210.4103/1658-354X.105895Anesthetic management of a patient with Bartter′s syndrome undergoing bilateral sagittal split osteotomyNasser NoohWalid AbdullahSaad ShetaBartter′s syndrome is an unusual (estimated incidence is 1.2 per million people) but important congenital form of secondary hyperaldosteronism; due to abnormalities in renal handling of electrolytes. It is associated with hypertrophy and hyperplasia of the juxtaglomerular cells, normal blood pressure, and hypokalemic alkalosis withoutedema.We present a 22-year-old woman with Bartter′s syndrome underwent bilateral sagittal split osteotomy to correct mandibular prognathic. The anesthetic management of Bartter′s syndrome should be relevant to the pathophysiology of the syndrome. Therefore, it should be directed toward maintaining cardiovascular stability, control of associated fluid, electrolyte and acid-base derangements, and the prevention of renal damage.http://www.saudija.org/article.asp?issn=1658-354X;year=2012;volume=6;issue=4;spage=419;epage=422;aulast=NoohBartter′s syndromebilateral sagittal split osteotomyorthognathic surgery
spellingShingle Nasser Nooh
Walid Abdullah
Saad Sheta
Anesthetic management of a patient with Bartter′s syndrome undergoing bilateral sagittal split osteotomy
Saudi Journal of Anaesthesia
Bartter′s syndrome
bilateral sagittal split osteotomy
orthognathic surgery
title Anesthetic management of a patient with Bartter′s syndrome undergoing bilateral sagittal split osteotomy
title_full Anesthetic management of a patient with Bartter′s syndrome undergoing bilateral sagittal split osteotomy
title_fullStr Anesthetic management of a patient with Bartter′s syndrome undergoing bilateral sagittal split osteotomy
title_full_unstemmed Anesthetic management of a patient with Bartter′s syndrome undergoing bilateral sagittal split osteotomy
title_short Anesthetic management of a patient with Bartter′s syndrome undergoing bilateral sagittal split osteotomy
title_sort anesthetic management of a patient with bartter s syndrome undergoing bilateral sagittal split osteotomy
topic Bartter′s syndrome
bilateral sagittal split osteotomy
orthognathic surgery
url http://www.saudija.org/article.asp?issn=1658-354X;year=2012;volume=6;issue=4;spage=419;epage=422;aulast=Nooh
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AT saadsheta anestheticmanagementofapatientwithbartterssyndromeundergoingbilateralsagittalsplitosteotomy