Perioperative Concerns for Profound Metabolic Alkalosis During Kidney Transplantation: A Case Report
نویسندگان
1 Department of Anesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Incheon, South Korea
2 Department of Anesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Incheon, South Korea
3 Department of Anesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Incheon, South Korea
4 Department of Anesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Incheon, South Korea
5 Department of Anesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Incheon, South Korea
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چکیده
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 thepresence of metabolic alkalosis in the absence of arterial blood gas analysis.Case Presentation: A 34-year-old female visited Gachon University Gil Medical Center, Incheon, South Korea during year 2015. Sheexperienced aggravated renal function due to chronic hypokalemia and severe hypochloremic metabolic alkalosis, induced by laxativeabuse, and underwent ABO incompatible kidney transplantation. Serum total carbon dioxide content remained high (about60 mEq/L) over eight months of monthly follow-up prior to kidney transplantation.Conclusions: The authors described their anesthetic experience of profound metabolic alkalosis with complex electrolyte abnormalitiesand provided a review of relevant literature.
