title: Management of a patient with hyperkalemic periodic paralysis requiring coronary artery bypass grafts.
abstract: Hyperkalemic periodic paralysis (HPP) is an autosomal-dominant inherited muscle disease characterized by episodes of flaccid weakness and intermittent myotonia. There are no previous reports in the literature about anesthesia for cardiac surgery with cardiopulmonary bypass in this disorder. We describe perioperative anesthetic management for on-pump coronary artery bypass grafting in a 75-year-old man with a history of hyperkalemic periodic paralysis. This case report outlines our management strategy and the issues encountered during the perioperative period.
authors.affiliation: Department of Cardiothoracic Anaesthesia and Intensive Care, Freeman Hospital, Newcastle Upon Tyne, United Kingdom. orathi.sanjay@huth.nhs.uk
authors.forename: Sanjay Orathi
authors.initials: SO
authors.lastname: Patangi
authors.forename: Mathew
authors.initials: M
authors.lastname: Garner
authors.forename: Hazel
authors.initials: H
authors.lastname: Powell
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D020513:Paralysis, Hyperkalemic Periodic / Q000503:physiopathology*; D019990:Perioperative Care