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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...

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Autores principales: Lemus, Rafael, Craver, Amber, Beebe, Allan, Samora, Walter, Tobias, Joseph D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2020
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.
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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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