Hyperkalemia in liver transplantation

IF 5 2区医学 Q1 ANESTHESIOLOGY

Journal of Clinical Anesthesia Pub Date : 2025-03-25 DOI:10.1016/j.jclinane.2025.111822

William Chang MD , Ming-Ray Xu MD , Alexander George MD , Meredith Kingeter MD , Christopher Patrick Henson DO , Kelly Mishra MD , Martin Montenovo MD , Michael Rizzari MD , Kara Siegrist MD

引用次数: 0

Abstract

Hyperkalemia commonly occurs in patients undergoing liver transplantation. The intraoperative course of liver transplant often involves hemodynamic and metabolic derangements leading up to liver reperfusion. Potassium levels can rise to dangerous levels immediately after reperfusion. The consequences of intraoperative hyperkalemia include risk of malignant arrhythmias and cardiac arrest. This review explores the numerous causes of hyperkalemia, including contributing surgical and anesthetic factors. The authors also discuss various treatment options and surgical techniques to manage perioperative hyperkalemia. It is important for anesthesiologists to understand the implications and management of hyperkalemia to optimize patients and reduce the risk of an intraoperative cardiac arrest.

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肝移植中的高钾血症

高钾血症常见于肝移植患者。肝移植手术过程中经常涉及血流动力学和代谢紊乱，导致肝脏再灌注。再灌注后，钾含量会立即上升到危险水平。术中高钾血症的后果包括恶性心律失常和心脏骤停的风险。这篇综述探讨了高钾血症的多种原因，包括手术和麻醉因素。作者还讨论了各种治疗方案和外科技术，以管理围手术期高钾血症。对于麻醉师来说，了解高钾血症的含义和管理对优化患者和降低术中心脏骤停的风险是很重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Anesthesia 医学-麻醉学

CiteScore

7.40

自引率

4.50%

发文量

346

审稿时长

23 days

期刊介绍： The Journal of Clinical Anesthesia (JCA) addresses all aspects of anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, cost issues, and similar concerns anesthesiologists contend with daily. Exceptionally high standards of presentation and accuracy are maintained. The core of the journal is original contributions on subjects relevant to clinical practice, and rigorously peer-reviewed. Highly respected international experts have joined together to form the Editorial Board, sharing their years of experience and clinical expertise. Specialized section editors cover the various subspecialties within the field. To keep your practical clinical skills current, the journal bridges the gap between the laboratory and the clinical practice of anesthesiology and critical care to clarify how new insights can improve daily practice.