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Unforeseen intra-operative hyperkalemia in a well dialyzed patient during renal transplantation
Joint Authors
Gautam, P. L.
Kathuria, Suneet
Singh, Avtar
Aulakh, Baldev Singh
Sandhu, Kirandeep
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 12, Issue 1 (28 Feb. 2001), pp.45-48, 4 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2001-02-28
Country of Publication
Saudi Arabia
No. of Pages
4
Main Subjects
Topics
Abstract EN
Renal excretion and cellular uptake of potassium play key roles in the body’s defense mechanism against hyperkalemia.
Intra-operative hyperkalemia is an uncommon life-threatening complication during elective renal transplant surgery.
We report herewith a non-insulin dependent diabetic kidney transplant recipient with prolonged pre-operative fasting, in whom, despite pre-operative hemodialysis, unforeseen high serum potassium level suddenly presented as wide-complex bradycardia during the surgery.
The patient responded well to medical therapy of the hyperkalemia and the surgery was completed uneventfully.
It is difficult to single out the exact cause of hyperkalemia in our patient.
Prolonged pre-operative fasting for about nine hours, associated with insulinopenia and hyperglycemia, in the presence of -blockade and metabolic acidosis, have probably collectively resulted in efflux of potassium from intra-cellular stores.
This potentially catastrophic complication should be remembered in diabetic patients undergoing any type of surgery.
American Psychological Association (APA)
Gautam, P. L.& Kathuria, Suneet& Singh, Avtar& Aulakh, Baldev Singh& Sandhu, Kirandeep. 2001. Unforeseen intra-operative hyperkalemia in a well dialyzed patient during renal transplantation. Saudi Journal of Kidney Diseases and Transplantation،Vol. 12, no. 1, pp.45-48.
https://search.emarefa.net/detail/BIM-60662
Modern Language Association (MLA)
Gautam, P. L.…[et al.]. Unforeseen intra-operative hyperkalemia in a well dialyzed patient during renal transplantation. Saudi Journal of Kidney Diseases and Transplantation Vol. 12, no. 1 (Feb. 2001), pp.45-48.
https://search.emarefa.net/detail/BIM-60662
American Medical Association (AMA)
Gautam, P. L.& Kathuria, Suneet& Singh, Avtar& Aulakh, Baldev Singh& Sandhu, Kirandeep. Unforeseen intra-operative hyperkalemia in a well dialyzed patient during renal transplantation. Saudi Journal of Kidney Diseases and Transplantation. 2001. Vol. 12, no. 1, pp.45-48.
https://search.emarefa.net/detail/BIM-60662
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 48
Record ID
BIM-60662