Anesthetic considerations in a parturient with renal tubular acidosis and hypothyroidism undergoing cesarean delivery

Int J Obstet Anesth. 2018 Feb:33:78-80. doi: 10.1016/j.ijoa.2017.08.002. Epub 2017 Aug 31.

Abstract

Renal tubular acidosis, associated with hypothyroidism, is rare. We present the case of a woman with known renal tubular acidosis and treated hypothyroidism who underwent emergency cesarean delivery under uneventful combined spinal-epidural anesthesia. The rationale for choosing the anesthetic technique and the potential risks associated with anesthesia and renal tubular acidosis are discussed.

Keywords: Combined spinal epidural; Hypokalemia; Hypothyroidism; Local anesthetic; Renal tubular acidosis.

Publication types

  • Case Reports

MeSH terms

  • Acidosis, Renal Tubular / complications*
  • Adult
  • Anesthesia, Epidural
  • Anesthesia, Obstetrical
  • Anesthesia, Spinal / methods
  • Cesarean Section / methods*
  • Emergency Medical Services
  • Female
  • Humans
  • Hypothyroidism / complications*
  • Infant, Newborn
  • Pregnancy
  • Pregnancy Outcome