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Davidson, A.J., Morton, N.S., Arnup, S.J., de Graaff, J.C., Disma, N., Withington, D.E., Frawley, G., Hunt, R.W., Hardy, P., Khotcholava, M., von Ungern Sternberg, B.S., Wilton, N., Tuo, P., Salvo, I., Ormond, G., Stargatt, R., Locatelli, B.G. and McCann, M.E. (2015) General Anesthesia Compared to Spinal Anesthesia C: Apnea after Awake Regional and General Anesthesia in Infants: The General Anesthesia Compared to Spinal Anesthesia Study-Comparing Apnea and Neurodevelopmental Outcomes, a Randomized Controlled Trial. Anesthesiology, 123, 38-54.

has been cited by the following article:

  • TITLE: Management of a Parturient with Preeclampsia and HELLP Syndrome Complicated by Gestational Diabetes Insipidus

    AUTHORS: Kalpana Tyagaraj, Alexandra Mazur, Agnes Miller, Dennis Feierman

    KEYWORDS: Gestational Diabetes Insipidus, Severe Preeclampsia, HELLP Syndrome

    JOURNAL NAME: Open Journal of Anesthesiology, Vol.6 No.10, September 30, 2016

    ABSTRACT: HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is considered to be a variant or severe form of pre-eclampsia, a life threatening complication of pregnancy. Gestational Diabetes Insipidus (GDI) can coexist with severe preeclampsia and HELLP syndrome. The combination of these two conditions presents a unique challenge to the anesthesiologist and the obstetric team, caring for this parturient. We present the case of a parturient with an unusual presentation of GDI, coexisting with severe preeclampsia and HELLP syndrome. She had two days history of polyuria and polydipsia as well as lethargy and rapidly rising serum sodium in addition to acute renal failure without any neurologic symptoms. Expeditious delivery of the baby and supportive management is essential for optimal outcomes. She underwent a repeat Cesarean section under combined spinal epidural (CSE) anesthesia. This patient was discharged on postoperative day five after clinical resolution of her signs and symptoms.