A Case of Hyperkalemia discovered immediately after the Induction of General Anesthesia .
10.4097/kjae.1988.21.2.393
- Author:
Yeong Ik JANG
1
;
Sang Kyi LEE
Author Information
1. Department of Anesthesiology, Chonbuk National University Medical School, Chonju Chonbuk, Korea.
- Publication Type:Case Report
- Keywords:
General anesthesia;
Haperkalemia
- MeSH:
Adrenal Insufficiency;
Adult;
Anesthesia;
Anesthesia, General*;
Common Bile Duct;
Diagnosis;
Female;
Heart Arrest;
Humans;
Hyperkalemia*;
Jaundice, Obstructive;
Muscle Weakness;
Thiopental
- From:Korean Journal of Anesthesiology
1988;21(2):393-399
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute hyperkalemia may result from many causes, i.e. excessive load, transcellular shift, decreased renal excretion, and so on, and may be associated with irreversible and fatal cardiac manifestations, muscle weakness, ventilatory and adrenal insufficiency, etc. We experienced a case of acute hyperkalemia probably due to red cell lysis which was evident immediately after the induction of general anesthesia with thiopental sodium and succinylcholin in 1 33 year-old female patient with common bile duct obstructive jaundice. In spite of active management during anesthesia and posoperative period, eventually she died of cardiac arrest. For the successful management of the acute hyperkalemia, the anesthesiologist should be aware of its etiologies, pathophysiology, diagnosis & treatment.
