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Perioperative anesthetic management for Cesarean section of a parturient with gestational diabetes insipidus.
Can J Anaesth. 2005 Aug-Sep; 52(7):733-6.CJ

Abstract

PURPOSE

Gestational diabetes insipidus (GDI) is a rare endocrinopathy complicating about 4:100,000 deliveries. We present the case of a preterm parturient with GDI and severe hypernatremia (serum sodium concentration = 174 mmol.L(-1)) presenting for an urgent Cesarean section.

CLINICAL FEATURES

Fluid resuscitation and desmopressin supplementation partially corrected the patient's homeostasis, allowing us to carefully titrate epidural anesthesia for an urgent Cesarean section. After delivery, the patient was transferred to the intensive care unit. The serum sodium concentration of the mother and the neonate was normalized over 48 hr and three days respectively.

CONCLUSION

The careful perioperative management of GDI led to a favourable outcome of the mother and fetus.

Authors+Show Affiliations

Division of Women's Anesthesia, Department of Anesthesiology, Duke University Medical Center, DUMC 3094, Bin 9, Durham, NC 27710, USA. lacas001@mc.duke.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16103388

Citation

Lacassie, Hector J., et al. "Perioperative Anesthetic Management for Cesarean Section of a Parturient With Gestational Diabetes Insipidus." Canadian Journal of Anaesthesia = Journal Canadien D'anesthesie, vol. 52, no. 7, 2005, pp. 733-6.
Lacassie HJ, Muir HA, Millar S, et al. Perioperative anesthetic management for Cesarean section of a parturient with gestational diabetes insipidus. Can J Anaesth. 2005;52(7):733-6.
Lacassie, H. J., Muir, H. A., Millar, S., & Habib, A. S. (2005). Perioperative anesthetic management for Cesarean section of a parturient with gestational diabetes insipidus. Canadian Journal of Anaesthesia = Journal Canadien D'anesthesie, 52(7), 733-6.
Lacassie HJ, et al. Perioperative Anesthetic Management for Cesarean Section of a Parturient With Gestational Diabetes Insipidus. Can J Anaesth. 2005 Aug-Sep;52(7):733-6. PubMed PMID: 16103388.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perioperative anesthetic management for Cesarean section of a parturient with gestational diabetes insipidus. AU - Lacassie,Hector J, AU - Muir,Holly A, AU - Millar,Simon, AU - Habib,Ashraf S, PY - 2005/8/17/pubmed PY - 2006/2/8/medline PY - 2005/8/17/entrez SP - 733 EP - 6 JF - Canadian journal of anaesthesia = Journal canadien d'anesthesie JO - Can J Anaesth VL - 52 IS - 7 N2 - PURPOSE: Gestational diabetes insipidus (GDI) is a rare endocrinopathy complicating about 4:100,000 deliveries. We present the case of a preterm parturient with GDI and severe hypernatremia (serum sodium concentration = 174 mmol.L(-1)) presenting for an urgent Cesarean section. CLINICAL FEATURES: Fluid resuscitation and desmopressin supplementation partially corrected the patient's homeostasis, allowing us to carefully titrate epidural anesthesia for an urgent Cesarean section. After delivery, the patient was transferred to the intensive care unit. The serum sodium concentration of the mother and the neonate was normalized over 48 hr and three days respectively. CONCLUSION: The careful perioperative management of GDI led to a favourable outcome of the mother and fetus. SN - 0832-610X UR - https://www.unboundmedicine.com/medline/citation/16103388/Perioperative_anesthetic_management_for_Cesarean_section_of_a_parturient_with_gestational_diabetes_insipidus_ L2 - https://doi.org/10.1007/BF03016563 DB - PRIME DP - Unbound Medicine ER -