• Anaesthetic management of a patient with Liddle's syndrome for emergency caesarean hysterectomy.

      Hayes, N E; Aslani, A; McCaul, C L; Department of Anaesthesia, Rotunda Hospital, Dublin, Ireland. nihayes@rotunda.ie (2012-02-01)
      We describe the anaesthetic management of a patient with Liddle's syndrome during caesarean section and emergency hysterectomy for placenta accreta associated with significant intrapartum haemorrhage. Liddle's syndrome is a rare autosomal dominant disorder characterised by early onset arterial hypertension and hypokalaemic metabolic alkalosis. Additional issues were the presence of short stature, limb hypertonicity and preeclampsia. Initial management with a low-dose combined spinal-epidural technique was subsequently converted to general anaesthesia due to patient discomfort. The management of Liddle's syndrome in the setting of neuraxial and general anaesthesia in a patient undergoing caesarean section is discussed.