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Anesthetic management of a patient with Bartter's syndrome undergoing orthognathic surgery
J A Roelofse1, A J van der Westhuijzen
1Faculty of Dentistry, University of Stellenbosch, Tygerberg, South Africa.
Anesthesia Progress
|April 1, 1997
Abstract:
Bartter's syndrome is a rare disorder characterized by severe hypokalemic alkalosis, marked elevation in plasma renin activity, pressor insensitivity to angiotensin II, and normal or low values of plasma sodium, plasma chloride, and blood pressure. Many of the clinical features and biochemical abnormalities appear to be secondary to chronic hypokalemia. We managed a 22-yr-old man requiring orthognathic surgery for correction of facial asymmetry under general anesthesia.