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.