Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2001  |  Volume : 12  |  Issue : 1  |  Page : 45--48

Unforeseen Intra-operative Hyperkalemia in a well Dialyzed Patient during Renal Transplantation


PL Gautam, Suneet Kathuria, Avtar Singh, Baldev Singh Aulakh, Kirandeep Sandhu 
 Dayanand Medical College and Hospital, Ludhiana, Punjab, India

Correspondence Address:
P L Gautam
50-G, Kitchlu Nagar, Ludhiana - 141001, Punjab
India

Renal excretion and cellular uptake of potassium play key roles in the body«SQ»s defense mechanism against hyperkalemia. Intra-operative hyperkalemia is an uncommon life-threatening complication during elective renal transplant surgery. We report herewith a non-insulin dependent diabetic kidney transplant recipient with prolonged pre-operative fasting, in whom, despite pre-operative hemodialysis, unforeseen high serum potassium level suddenly presented as wide-complex bradycardia during the surgery. The patient responded well to medical therapy of the hyperkalemia and the surgery was completed uneventfully. It is difficult to single out the exact cause of hyperkalemia in our patient. Prolonged pre-operative fasting for about nine hours, associated with insulinopenia and hyperglycemia, in the presence of β-blockade and metabolic acidosis, have probably collectively resulted in efflux of potassium from intra-cellular stores. This potentially catastrophic complication should be remembered in diabetic patients undergoing any type of surgery.


How to cite this article:
Gautam P L, Kathuria S, Singh A, Aulakh BS, Sandhu K. Unforeseen Intra-operative Hyperkalemia in a well Dialyzed Patient during Renal Transplantation.Saudi J Kidney Dis Transpl 2001;12:45-48


How to cite this URL:
Gautam P L, Kathuria S, Singh A, Aulakh BS, Sandhu K. Unforeseen Intra-operative Hyperkalemia in a well Dialyzed Patient during Renal Transplantation. Saudi J Kidney Dis Transpl [serial online] 2001 [cited 2021 Mar 4 ];12:45-48
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2001;volume=12;issue=1;spage=45;epage=48;aulast=Gautam;type=0