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Etiology and Treatment of Intraoperative Hyperkalemia During Posterior Spinal Fusion in an Adolescent
Hyperkalemia, defined as a serum or plasma potassium greater than 5.5 mEq/L, while an uncommon occurrence in children, is a serious medical problem that warrants immediate attention as it can result in serious cardiac arrhythmias and death. Although hyperkalemia may occur in the critically ill patie...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8383643/ https://www.ncbi.nlm.nih.gov/pubmed/34434388 http://dx.doi.org/10.14740/jmc3470 |
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author | Lemus, Rafael Craver, Amber Beebe, Allan Samora, Walter Tobias, Joseph D. |
author_facet | Lemus, Rafael Craver, Amber Beebe, Allan Samora, Walter Tobias, Joseph D. |
author_sort | Lemus, Rafael |
collection | PubMed |
description | Hyperkalemia, defined as a serum or plasma potassium greater than 5.5 mEq/L, while an uncommon occurrence in children, is a serious medical problem that warrants immediate attention as it can result in serious cardiac arrhythmias and death. Although hyperkalemia may occur in the critically ill patient or in the setting of renal failure and insufficiency, there are limited reports of its occurrence during intraoperative care. The authors report a previously healthy, 18-year-old patient, who developed hyperkalemia intraoperatively during posterior spinal fusion to treat adolescent idiopathic scoliosis. The potential etiologies of hyperkalemia are reviewed, a differential diagnosis for the possible etiologies presented, and treatment modalities discussed. |
format | Online Article Text |
id | pubmed-8383643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-83836432021-08-24 Etiology and Treatment of Intraoperative Hyperkalemia During Posterior Spinal Fusion in an Adolescent Lemus, Rafael Craver, Amber Beebe, Allan Samora, Walter Tobias, Joseph D. J Med Cases Case Report Hyperkalemia, defined as a serum or plasma potassium greater than 5.5 mEq/L, while an uncommon occurrence in children, is a serious medical problem that warrants immediate attention as it can result in serious cardiac arrhythmias and death. Although hyperkalemia may occur in the critically ill patient or in the setting of renal failure and insufficiency, there are limited reports of its occurrence during intraoperative care. The authors report a previously healthy, 18-year-old patient, who developed hyperkalemia intraoperatively during posterior spinal fusion to treat adolescent idiopathic scoliosis. The potential etiologies of hyperkalemia are reviewed, a differential diagnosis for the possible etiologies presented, and treatment modalities discussed. Elmer Press 2020-06 2020-05-28 /pmc/articles/PMC8383643/ /pubmed/34434388 http://dx.doi.org/10.14740/jmc3470 Text en Copyright 2020, Lemus et al. https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Lemus, Rafael Craver, Amber Beebe, Allan Samora, Walter Tobias, Joseph D. Etiology and Treatment of Intraoperative Hyperkalemia During Posterior Spinal Fusion in an Adolescent |
title | Etiology and Treatment of Intraoperative Hyperkalemia During Posterior Spinal Fusion in an Adolescent |
title_full | Etiology and Treatment of Intraoperative Hyperkalemia During Posterior Spinal Fusion in an Adolescent |
title_fullStr | Etiology and Treatment of Intraoperative Hyperkalemia During Posterior Spinal Fusion in an Adolescent |
title_full_unstemmed | Etiology and Treatment of Intraoperative Hyperkalemia During Posterior Spinal Fusion in an Adolescent |
title_short | Etiology and Treatment of Intraoperative Hyperkalemia During Posterior Spinal Fusion in an Adolescent |
title_sort | etiology and treatment of intraoperative hyperkalemia during posterior spinal fusion in an adolescent |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8383643/ https://www.ncbi.nlm.nih.gov/pubmed/34434388 http://dx.doi.org/10.14740/jmc3470 |
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