Anesthetic considerations in a parturient with renal tubular acidosis and hypothyroidism undergoing cesarean delivery. (February 2018)

• Record Type: Journal Article
• Authors: Sangwan, P.; Srinivasan, B.; Janweja, S.; Jangid, S.
• Is Part Of: International journal of obstetric anesthesia. Volume 33(2018)
• Page Start: 78
• Page End: 80
• Publication Date: 2018-02
• Subjects: Renal tubular acidosis -- Hypothyroidism -- Hypokalemia -- Local anesthetic -- Combined spinal epidural; Obstetrics -- Periodicals; Anesthesia -- Periodicals; Anesthésie en obstétrique -- Périodiques; Anesthesia; Obstetrics; Electronic journals; Periodicals; 617.9682
• DOI: 10.1016/j.ijoa.2017.08.002
• Languages: English
• ISSNs: 0959-289X

Abstract

Highlights: Management of a parturient with renal tubular acidosis and hypokalemia is challenging. Combined spinal-epidural anesthesia was used for cesarean delivery. Norepinephrine was used to prevent and treat hypotension. Postoperative analgesia was provided with a continuous epidural infusion. Abstract: Renal tubular acidosis, associated with hypothyroidism, is rare. We present the case of a woman with known renal tubular acidosis and treated hypothyroidism who underwent emergency cesarean delivery under uneventful combined spinal-epidural anesthesia. The rationale for choosing the anesthetic technique and the potential risks associated with anesthesia and renal tubular acidosis are discussed.