Hyperkalemia caused by rapid red cell transfusion and the potassium absorption filter

We report a case of transient hyperkalemia during hysterectomy after cesarean section, due to preoperatively undiagnosed placenta accreta that caused unforeseen massive hemorrhage and required rapid red cell transfusion. Hyperkalemia-induced by rapid red cell transfusion is a well-known severe compl...

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Main Authors: Yasuhiko Imashuku, Hirotoshi Kitagawa, Takayoshi Mizuno, Yutaka Fukushima
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2017;volume=11;issue=1;spage=114;epage=116;aulast=Imashuku
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author Yasuhiko Imashuku
Hirotoshi Kitagawa
Takayoshi Mizuno
Yutaka Fukushima
author_facet Yasuhiko Imashuku
Hirotoshi Kitagawa
Takayoshi Mizuno
Yutaka Fukushima
author_sort Yasuhiko Imashuku
collection DOAJ
description We report a case of transient hyperkalemia during hysterectomy after cesarean section, due to preoperatively undiagnosed placenta accreta that caused unforeseen massive hemorrhage and required rapid red cell transfusion. Hyperkalemia-induced by rapid red cell transfusion is a well-known severe complication of transfusion; however, in patients with sudden massive hemorrhage, rapid red cell transfusion is necessary to save their life. In such cases, it is extremely important to monitor serum potassium levels. For an emergency situation, a system should be developed to ensure sufficient preparation for immediate transfusion and laboratory tests. Furthermore, sufficient stock of preparations to treat hyperkalemia, such as calcium preparations, diuretics, glucose, and insulin is required. Moreover, a transfusion filter that absorbs potassium has been developed and is now available for clinical use in Japan. The filter is easy to use and beneficial, and should be prepared when it is available.
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spelling doaj.art-21f72ddd63b04e06822dc127a90394172022-12-22T01:55:14ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2017-01-0111111411610.4103/1658-354X.197354Hyperkalemia caused by rapid red cell transfusion and the potassium absorption filterYasuhiko ImashukuHirotoshi KitagawaTakayoshi MizunoYutaka FukushimaWe report a case of transient hyperkalemia during hysterectomy after cesarean section, due to preoperatively undiagnosed placenta accreta that caused unforeseen massive hemorrhage and required rapid red cell transfusion. Hyperkalemia-induced by rapid red cell transfusion is a well-known severe complication of transfusion; however, in patients with sudden massive hemorrhage, rapid red cell transfusion is necessary to save their life. In such cases, it is extremely important to monitor serum potassium levels. For an emergency situation, a system should be developed to ensure sufficient preparation for immediate transfusion and laboratory tests. Furthermore, sufficient stock of preparations to treat hyperkalemia, such as calcium preparations, diuretics, glucose, and insulin is required. Moreover, a transfusion filter that absorbs potassium has been developed and is now available for clinical use in Japan. The filter is easy to use and beneficial, and should be prepared when it is available.http://www.saudija.org/article.asp?issn=1658-354X;year=2017;volume=11;issue=1;spage=114;epage=116;aulast=ImashukuHyperkalemia; massive hemorrhage; potassium absorption filter; rapid red cell transfusion
spellingShingle Yasuhiko Imashuku
Hirotoshi Kitagawa
Takayoshi Mizuno
Yutaka Fukushima
Hyperkalemia caused by rapid red cell transfusion and the potassium absorption filter
Saudi Journal of Anaesthesia
Hyperkalemia; massive hemorrhage; potassium absorption filter; rapid red cell transfusion
title Hyperkalemia caused by rapid red cell transfusion and the potassium absorption filter
title_full Hyperkalemia caused by rapid red cell transfusion and the potassium absorption filter
title_fullStr Hyperkalemia caused by rapid red cell transfusion and the potassium absorption filter
title_full_unstemmed Hyperkalemia caused by rapid red cell transfusion and the potassium absorption filter
title_short Hyperkalemia caused by rapid red cell transfusion and the potassium absorption filter
title_sort hyperkalemia caused by rapid red cell transfusion and the potassium absorption filter
topic Hyperkalemia; massive hemorrhage; potassium absorption filter; rapid red cell transfusion
url http://www.saudija.org/article.asp?issn=1658-354X;year=2017;volume=11;issue=1;spage=114;epage=116;aulast=Imashuku
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AT hirotoshikitagawa hyperkalemiacausedbyrapidredcelltransfusionandthepotassiumabsorptionfilter
AT takayoshimizuno hyperkalemiacausedbyrapidredcelltransfusionandthepotassiumabsorptionfilter
AT yutakafukushima hyperkalemiacausedbyrapidredcelltransfusionandthepotassiumabsorptionfilter