Author/Authors :
Choi، Jung Ju نويسنده Department of Anesthesiology and Pain Medicine, Gachon
University, Gil Medical Center, Incheon, South Korea , , Kim، Yong Beom نويسنده Department of Anesthesiology and Pain Medicine, Gachon
University, Gil Medical Center, Incheon, South Korea , , Kim، Hong Soon نويسنده Department of Anesthesiology and Pain Medicine, Gachon
University, Gil Medical Center, Incheon, South Korea , , Lee، Kyung Cheon نويسنده Department of Anesthesiology and Pain Medicine, Gachon
University, Gil Medical Center, Incheon, South Korea , , Jo، Youn Yi نويسنده Department of Anesthesiology and Pain Medicine, Gachon
University, Gil Medical Center, Incheon, South Korea ,
Abstract :
Profound metabolic alkalosis is an uncommon consideration for the
anesthetic management of kidney transplantation. Serum total carbon
dioxide content and complex electrolyte abnormalities might be important
diagnostic clues for the presence of metabolic alkalosis in the absence
of arterial blood gas analysis. A 34-year-old female visited Gachon
University Gil Medical Center, Incheon, South Korea during year 2015.
She experienced aggravated renal function due to chronic hypokalemia and
severe hypochloremic metabolic alkalosis, induced by laxative abuse, and
underwent ABO incompatible kidney transplantation. Serum total carbon
dioxide content remained high (about 60 mEq/L) over eight months of
monthly follow-up prior to kidney transplantation. The authors described
their anesthetic experience of profound metabolic alkalosis with complex
electrolyte abnormalities and provided a review of relevant
literature.
