• Int J Obstet Anesth · Apr 2011

    Case Reports

    Anaesthetic management of a patient with Liddle's syndrome for emergency caesarean hysterectomy.

    • N E Hayes, A Aslani, and C L McCaul.
    • Department of Anaesthesia, Rotunda Hospital, Dublin, Ireland. nihayes@rotunda.ie
    • Int J Obstet Anesth. 2011 Apr 1;20(2):178-80.

    AbstractWe describe the anaesthetic management of a patient with Liddle's syndrome during caesarean section and emergency hysterectomy for placenta accreta associated with significant intrapartum haemorrhage. Liddle's syndrome is a rare autosomal dominant disorder characterised by early onset arterial hypertension and hypokalaemic metabolic alkalosis. Additional issues were the presence of short stature, limb hypertonicity and preeclampsia. Initial management with a low-dose combined spinal-epidural technique was subsequently converted to general anaesthesia due to patient discomfort. The management of Liddle's syndrome in the setting of neuraxial and general anaesthesia in a patient undergoing caesarean section is discussed.Copyright © 2010 Elsevier Ltd. All rights reserved.

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