Goggin MJ, Joekes AM. Gas exchange in renal failure. I. Dangers of hyperkalaemia during anaesthesia.
BRITISH MEDICAL JOURNAL 1971;
2:244-7. [PMID:
5572381 PMCID:
PMC1796445 DOI:
10.1136/bmj.2.5756.244]
[Citation(s) in RCA: 17] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Failure to maintain compensatory hyperventilation during anaesthesia in patients with metabolic acidosis results in an increase in PaCO(2), fall in blood pH, and a possible rise in plasma potassium. This sequence of events may account for unexplained operative deaths in patients in renal failure.
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