Acute respiratory failure due to hypokalaemic muscular paralysis from renal tubular acidosis.
We report a case of hypokalaemic quadriplegia with acute respiratory failure and life-threatening cardiac arrhythmias in a 26-year-old woman who was diagnosed to have distal renal tubular acidosis. She had persistent metabolic acidosis with severe hypokalaemia and required mechanical ventilation and potassium replacement. The anaesthetic implications of renal tubular acidosis are also discussed.
Gombar
S
S
Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India.
Mathew
P J
PJ
Gombar
K K
KK
D'Cruz
S
S
Goyal
G
G
D000141:Acidosis, Renal Tubular / Q000150:complications*; D000328:Adult; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000150:complications* / Q000188:drug therapy / Q000209:etiology; D011189:Potassium Chloride / Q000627:therapeutic use; D011782:Quadriplegia / Q000150:complications* / Q000209:etiology; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000209:etiology*
D011189:Potassium Chloride