Systemic reperfusion injury during arm replantation requiring intraoperative amputation.
This case describes the attempted replantation of an arm following its traumatic amputation. After a five-and-a-half hour ischaemic time, perfusion of the arm was re-established. However over the ensuing hours, the patient developed hyperkalaemia, acidaemia and severe hypotension requiting high dose inotropic support. Ultimately re-amputation was necessary to treat the systemic effects of the ischaemia reperfusion syndrome.
McCutcheon
C
C
Department of Anaesthesia, St Vincent's Hospital, Melbourne, Victoria.
Hennessy
B
B
D000328:Adult; D000673:Amputation, Traumatic; D001132:Arm / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery; D008297:Male; D015427:Reperfusion Injury / Q000503:physiopathology*; D012092:Replantation / Q000009:adverse effects*