Perioperative anesthetic management for Cesarean section of a parturient with gestational diabetes insipidus.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Lacassie, HJ; Muir, HA; Millar, S; Habib, AS

Published Date

  • August 2005

Published In

Volume / Issue

  • 52 / 7

Start / End Page

  • 733 - 736

PubMed ID

  • 16103388

Pubmed Central ID

  • 16103388

International Standard Serial Number (ISSN)

  • 0832-610X

Digital Object Identifier (DOI)

  • 10.1007/BF03016563

Language

  • eng

Conference Location

  • United States