지텔만 증후군 환자의 전신마취관리 경험

Gitelman syndrome is a rare autosomal recessive salt-losing renal tubulopathy characterised by hypomagnesemia, hypocalciuria and secondary aldosteronism, which results in hypokalemia and metabolic alkalosis. Acute exacerbation of the hypokalemia and the metabolic alkalosis may interfere with surgery and general anesthesia. Anesthesiologists should be aware of pathogenesis and clinical sypmtoms of Gitelman syndrome to prevent possible complications during perioperative period. It is important to keep an eye on the electrolytes and pH during and after surgery.