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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2016; 03(01): 049-051
DOI: 10.4103/2348-0548.173253
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Perioperative management of a patient with primary hypoparathyroidism and severe hypocalcaemia for lumbar spine surgery

Deepak Madankar
1   Department of Anaesthesiology, Meditrina Institute of Medical Sciences, Nagpur, Maharashtra, India
,
Sheetal Samel
1   Department of Anaesthesiology, Meditrina Institute of Medical Sciences, Nagpur, Maharashtra, India
,
Abhay Ganar
1   Department of Anaesthesiology, Meditrina Institute of Medical Sciences, Nagpur, Maharashtra, India
,
Neelesh Mathankar
1   Department of Anaesthesiology, Meditrina Institute of Medical Sciences, Nagpur, Maharashtra, India
› Author Affiliations
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Publication History

Publication Date:
03 May 2018 (online)

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Abstract

Primary hypoparathyroidism and consequent hypocalcaemia in the absence of iatrogenic cause are a rare entity. Serum ionised calcium concentrations < 0.50 mmol l−1 are more frequently associated with life-threatening complications and constitute a medical emergency that necessitates intravenous calcium therapy. The anaesthesiologist should carefully look for the effects of hypocalcaemia on the heart, circulation, muscle power and blood coagulation. We report perioperative management of a case of hypoparathyroidism and associated hypocalcaemia posted for lumbar discectomy in prone position and its anaesthetic implications.

Keywords

Anaesthesia - hypocalcaemia - life-threatening complications - primary hypoparathyroidism - spine surgery
 

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