Hypokalaemic, hyperchloraemic metabolic acidosis requiring ventilation.
A 16-year-old patient required intermittent positive pressure ventilation for hypokalaemic muscle weakness resulting from metabolic complications of combined colonic bladder augmentation and incomplete voiding via a prosthetic sphincter. Catheter re-establishment of urinary flow and electrolyte replacement produced dramatic metabolic and clinical improvement allowing the return of adequate spontaneous respiration.
Dunn
S R
SR
Departments of Anaesthesia & Medicine, Castle Hill Hospital, Cottingham, East Yorkshire HU16 5JQ, UK.
Farnsworth
T A
TA
Karunaratne
W U
WU
D000138:Acidosis / Q000209:etiology* / Q000628:therapy; D000293:Adolescent; D002712:Chlorides / Q000097:blood*; D006801:Humans; D007008:Hypokalemia / Q000209:etiology*; D007385:Intermittent Positive-Pressure Ventilation; D008297:Male; D014547:Urinary Diversion / Q000009:adverse effects*
D002712:Chlorides