Perioperative considerations in patients with Gitelman syndrome: a case series

Abstract 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.