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Anaesthesia for laparoscopic cholecystectomy in Bartter's syndrome.
MedLine Citation:
PMID:  20882176     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Bartter's syndrome is a rare inherited anamoly with defect in the thick segment of the ascending limb of the loop of Henle, with reduced reabsorption of potassium. Growth is affected with worsening renal function, hypokalaemia, hypochloraemic metabolic alkalosis, hypocalcemia, hypomagnesemia, increased levels of aldosterone, renin and angiotensin without hypertension and lack of responses to vasopressors. Treatment consists of potassium supplementation along with other medications. We present the case report, probably the first, of a child suffering from Bartter's syndrome with gall stones posted for laparoscopic cholecystectomy. The pre-operative correction of hypokalemia and successful anaesthetic and fluid and electrolyte management of the patient are discussed.
Authors:
Bala S Bhaskar; Gv Rao; Sanjeev B Joshi; Sk Arun; Sk Ajay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of anaesthesia     Volume:  54     ISSN:  0976-2817     ISO Abbreviation:  Indian J Anaesth     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-09-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0013243     Medline TA:  Indian J Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  327-30     Citation Subset:  -    
Affiliation:
Department of Anaesthesiology and Critical Care, VIMS, Bellary, India.
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