Perioperative considerations in patients with Gitelman syndrome: a case series

Study Objective: To determine the perioperative considerations for low-risk and high-risk surgery in patients with Gitelman syndrome. Design: Retrospective chart review. Setting: University-affiliated medical center. Patients: 42 patients with Gitelman syndrome. Measurements: Of the 42 patients with Gitelman syndrome, 5 underwent procedures requiring anesthesia: mastectomy, spinal fusion, thyroidectomy, tonsillectomy, and bronchoscopy. The anesthesia record and all associated laboratory tests and clinical notes associated with those procedures were recorded. Main Results: No acute electrolyte abnormalities or postoperative complications occurred with these procedures in patients with Gitelman syndrome. Conclusion: Gitelman syndrome is a mild disorder when appropriately managed. (C) 2012 Elsevier Inc. All rights reserved.