title: [Hyperkalemia after arterial revascularization in a patient undergoing arm replantation].
abstract: A 25-year-old man was admitted for arm replantation. His left upper arm was completely amputated by conveyer belt Anesthesia was induced with propofol (80 mg), rocuronium (50 mg), remifentanil (0.15 μg x kg(-1) x min(-1)) and maintained with sevoflurane (1-2%) and remifentanil (0.1-0.3 μg x kg(-1) x min(-1)). The plastic surgeons revascularized subclavian artery quickly but blood pressure decreased to 40-50 mmHg because of massive bleeding and plasma potassium concentration reached 5.8 mEq x l(-1). Noradrenaline (0.3 μg x kg(-1) x min(-1)) and massive albumin on behalf of red blood cells were administered. After we treated hyperkalemia and hypotension, the subclavian vein was successfully revascularized. We should maintain low potassium concentration before revascularization in patients undergoing arm replantation.
authors: Norie
authors: N
authors: Imanaka
authors: Masato
authors: M
authors: Nakasuji
authors: Masataka
authors: M
authors: Nomura
authors: Miwako
authors: M
authors: Yoshioka
authors: Taeko
authors: T
authors: Miyata
authors: Masuji
authors: M
authors: Tanaka
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D000758:Anesthesia; D001132:Arm / Q000098:blood supply / Q000601:surgery*; D001134:Arm Injuries / Q000601:surgery*; D016063:Blood Loss, Surgical; D000075202:Contraindications; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology / Q000517:prevention & control*; D007022:Hypotension; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D011188:Potassium; D019651:Plastic Surgery Procedures; D015424:Reperfusion / Q000009:adverse effects; D012092:Replantation; D013348:Subclavian Artery / Q000601:surgery
chemical_list: D011188:Potassium