Acute hyperkalemia risks in recipients of kidney graft cooled with Collins' solution.
The authors present the first case of cardiac arrest, occurring at the time of vessel clamps removal, of a kidney transplantation cooled prior to grafting with Collin's solution. Monitoring of cardiac (K) has demonstrated the role of Collin's solution (K = 141 mEq/l) in the genesis of this incident. The mean +/- SD increase of the K concentration in the right atrium within the seconds following the removal of the graft vessels clamps was 2.6 +/- 1.5 mEq. Acute electrocardiographic abnormalities primarily represented by sudden apparition of hyperkalemic T waves and extrasystols occurs in more than 50% of the cases. The effects of progressive blood release in the graft and other preventive manipulations are studied and discussed.
D005260:Female; D006323:Heart Arrest / Q000150:complications / Q000209:etiology*; D006801:Humans; D006947:Hyperkalemia / Q000150:complications / Q000209:etiology*; D016030:Kidney Transplantation; D008875:Middle Aged; D009926:Organ Preservation; D012306:Risk; D012996:Solutions; D013997:Time Factors; D014021:Tissue Preservation
D012996:Solutions