Intraoperative QRS-interval changes caused by hyperkalaemia in an infant with Arima syndrome.
A one-year-and-ten-months-old male infant with Arima syndrome, a very rare genetic disorder, underwent urgent insertion of a catheter for continuous ambulatory peritoneal dialysis (CAPD) under general anaesthesia. During the procedure he showed QRS-interval changes caused by hyperkalaemia which was successfully treated with calcium gluconate. The management and intraoperative complications of this syndrome are reported and available literature reviewed.
Koizuka
S
S
Department of Anaesthesiology and Reanimatology, Gunma University School of Medicine, Maebashi, Japan.
Nishikawa
K
K
Nemoto
H
H
Sudo
M
M
Yoshikawa
D
D
Morita
T
T
Goto
F
F
D000015:Abnormalities, Multiple / Q000503:physiopathology; D000768:Anesthesia, General; D002408:Catheters, Indwelling; D004562:Electrocardiography; D006339:Heart Rate; D006801:Humans; D006947:Hyperkalemia / Q000503:physiopathology*; D007223:Infant; D007432:Intraoperative Period; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D008297:Male; D010531:Peritoneal Dialysis, Continuous Ambulatory; D007690:Polycystic Kidney Diseases / Q000150:complications / Q000503:physiopathology; D013577:Syndrome; D013520:Urologic Surgical Procedures