[Hyperkalemia after arterial revascularization in a patient undergoing arm replantation].
Masui
; 63(12): 1358-61, 2014 Dec.
Article
em Ja
| MEDLINE
| ID: mdl-25669091
ABSTRACT
A 25-year-old man was admitted for arm replantation. His left upper arm was completely amputated by conveyer belt Anesthesia was induced with propofol (80 mg), rocuronium (50 mg), remifentanil (0.15 µg x kg(-1) x min(-1)) and maintained with sevoflurane (1-2%) and remifentanil (0.1-0.3 µg x kg(-1) x min(-1)). The plastic surgeons revascularized subclavian artery quickly but blood pressure decreased to 40-50 mmHg because of massive bleeding and plasma potassium concentration reached 5.8 mEq x l(-1). Noradrenaline (0.3 µg x kg(-1) x min(-1)) and massive albumin on behalf of red blood cells were administered. After we treated hyperkalemia and hypotension, the subclavian vein was successfully revascularized. We should maintain low potassium concentration before revascularization in patients undergoing arm replantation.
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Bases de dados:
MEDLINE
Assunto principal:
Braço
/
Traumatismos do Braço
/
Complicações Pós-Operatórias
/
Reimplante
/
Procedimentos de Cirurgia Plástica
/
Amputação Traumática
/
Hiperpotassemia
/
Anestesia
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
Ja
Revista:
Masui
Ano de publicação:
2014
Tipo de documento:
Article