Severe Acute Hyperkalemia during Pre-Anhepatic Stage in Cadaveric Orthotopic Liver Transplantation

Authors

  • Mohammad Ali Sahmeddini Shiraz Anesthesiology and Intensive Care Research Center, Nemazee Hospital, Shiraz University of Medical Science, Shiraz, Iran
  • Mohammad Bagher Khosravi Shiraz Anesthesiology and Intensive Care Research Center, Nemazee Hospital, Shiraz University of Medical Science, Shiraz, Iran
Abstract:

A serious hazard to patients during orthotopic liver transplantation is hyperkalemia. Although the most frequent and hazardous hyperkalemia occurs immediately after reperfusion of the newly transplanted liver, morbid hyperkalemia could happen in the other phases during orthotopic liver transplantation. However, pre-anhepatic hyperkalemia during orthotopic liver transplantation is rare. This report describes one such patient, who without transfusion, developed severe hyperkalemia during pre-anhepatic phase. The variations in serum potassium concentration of the present case indicate that it is necessary to take care of the changes of serum potassium concentration not only during reperfusion but also during the other phases of the liver transplantation.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

severe acute hyperkalemia during pre-anhepatic stage in cadaveric orthotopic liver transplantation

a serious hazard to patients during orthotopic liver transplantation is hyperkalemia. although the most frequent and hazardous hyperkalemia occurs immediately after reperfusion of the newly transplanted liver, morbid hyperkalemia could happen in the other phases during orthotopic liver transplantation. however, pre-anhepatic hyperkalemia during orthotopic liver transplantation is rare. this rep...

full text

Acute Appendicitis in the Early Stage after Orthotopic Liver Transplantation

intRoduction Acute appendicitis is one of the most common surgical diseases in the general population, but it rarely happens after orthotopic liver transplantation (OLT). The impaired immune function in these patients usually predisposes them to a delay in diagnosis owing to an atypical presentation, which might increase complications including death. It is reported that acute appendicitis afte...

full text

Extrahepatic metabolism of propofol in man during the anhepatic phase of orthotopic liver transplantation.

We have investigated extrahepatic metabolism of propofol in 10 patients undergoing orthotopic liver transplantation (group 1) (mean age 38 yr, mean weight 60 (SD 7) kg) and compared it with that in 10 patients without liver dysfunction undergoing extrahepatic abdominal surgery (group 2) (mean age 56 yr, mean weight 68 (11) kg). A single i.v. bolus dose of propofol 0.5 mg kg-1 was injected into ...

full text

Extrahepatic morphine metabolism in man during the anhepatic phase of orthotopic liver transplantation.

The primary site for the metabolism of morphine has been the subject of controversy for some time. We studied morphine metabolism during the anhepatic phase of orthotopic liver transplantation in seven adult patients. After injection of morphine 10 mg at the beginning of this phase, the plasma and urinary concentrations of unchanged morphine, morphine-3-glucuronide, morphine-6-glucuronide and n...

full text

The effect of liver disease on the need for venous decompression during the anhepatic phase of canine orthotopic liver transplantation.

In at Ie""t ono important way, an wone, ous conclusion was reached from animal experimentation about the technical requirements for successful orthotopic transplantation of the human liver. During the anhepatic phase, it is necessary to cross-clamp the great veins which drain the intestine and the lower half of the body. It was soon learned that normal dogs rapidly developed shock and almost in...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 37  issue 3

pages  208- 210

publication date 2012-09-01

By following a journal you will be notified via email when a new issue of this journal is published.

Keywords

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023