Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942013000500012
Brazilian Journal of Anesthesiology
Clinical Informations

Hiperpotassemia pela solução Euro-Collins na anestesia para transplante renal: relato de caso

Hyperkalemia by Euro-Collins solution in anesthesia for renal transplantation: a case report

Eunice Sizue Hirata; Rosa Inês Costa Pereira; Gentil Alves Filho; Angélica de Fátima Assunção Braga

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Resumo

OBJETIVOS: Descrever uma anestesia para transplante renal que se complicou com a elevação brusca de potássio, pela reperfusão do rim com solução Euro-Collins no campo operatório. Também será relatado o diagnóstico e o tratamento empregados nessa complicação. CONCLUSÃO: O uso de soluções de perfusão no campo cirúrgico requer cuidados na monitoração, como eletrocardioscopia e dosagem de potássio sérico, e disponibilidade para uso imediato de gluconato de cálcio, insulina e salbutamol. A substituição da solução Euro-Collins por soro fisiológico imediatamente antes do implante pode ser uma opção útil em pacientes com níveis de potássio sabidamente elevados.

Palavras-chave

CIRURGIA, Transplante, COMPLICAÇÕES, Hiperpotassemia, Soluções Hipertônicas

Abstract

OBJECTIVE: To describe anesthesia for renal transplantation that progressed to a sharp potassium increase after kidney reperfusion with Euro-Collins' solution in the operative field. We will also report on diagnosis and treatment used. CONCLUSION: The use of infusion solutions in the surgical field requires careful monitoring, such as electrocardiography, measurement of serum potassium, and availability of calcium gluconate, insulin, and albuterol for immediate use. The replacement of Euro-Collins' solution for saline solution immediately before the implant may be a useful option in patients with high levels of potassium.

Keywords

Hypertonic Solutions, Hyperkalemia, Kidney Transplantation

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