机器人辅助根治性膀胱切除术中急性术中高钾血症1例报告。

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A&A Practice Pub Date : 2022-12-01 DOI:10.1213/XAA.0000000000001650

Nivedhyaa Srinivasaraghavan, Vallary Modh, Arun Menon

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引用次数: 0

摘要

一名患有肌肉浸润性膀胱癌的50岁男性计划接受机器人根治性膀胱切除术。手术四小时后，他的心电图显示节律紊乱。动脉血气分析显示血钾浓度为6.6 mEq/L。高钾血症立即通过静脉注射10%葡萄糖酸钙、胰岛素和葡萄糖治疗，并通过气管管给药左沙丁胺醇。随后，窦性心律恢复正常。该手术在转为开放手术后完成。术后血清钾浓度降至4.6 mEq/L，拔管。他住院后的日子平安无事。

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Acute Intraoperative Hyperkalemia During Robot-Assisted Radical Cystectomy: A Case Report.

A 50-year-old man with muscle-invasive bladder cancer was scheduled for a robotic radical cystectomy. Four hours into the surgery, his electrocardiogram showed rhythm disturbances. Arterial blood gas analysis showed a serum potassium concentration of 6.6 mEq/L. Hyperkalemia was managed immediately with intravenous 10% calcium gluconate, insulin, and glucose administrations, and levosalbutamol was administered through the tracheal tube. Subsequently, normal sinus rhythm returned. The procedure was completed after conversion to an open surgery. The postoperative serum potassium concentration was reduced to 4.6 mEq/L, and the patient was extubated. The remainder of his hospital stay was uneventful.

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来源期刊

A&A Practice ANESTHESIOLOGY-

自引率

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发文量

期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.