Intraoperative hyperkalemia during laparoscopic pelvic surgery and prostatectomy  

作　　者：Yang Zhang Huan-Huan Sha Peng-Fei Shao Yong Wang Bo Gui 

机构地区：[1]Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China [2]Department of Urology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China [3]Department of General Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China

出　　处：《Chinese Medical Journal》2019年第15期1872-1873,共2页中华医学杂志（英文版）

摘　　要：A similar event may occur in other kinds of minimally invasive surgeries,such as hysteroscopy.[1] In the case of operative hysteroscopy,electrolytes abnormality may be induced by intravascular absorption syndrome due to an overload of low-viscosity fluids.However,there is some difference between these two cases.For most urologic surgeries,the urine output cannot always be well monitored.During laparoscopic prostatectomy (LP) or laparoscopic radical prostatectomy (LRP),urine tends to leak into the upper abdomen because of the patient's assumed 30° Trendelenburg position,especially,if the urine is not suction drained.Hyperkalemia occurred because the urine was mostly absorbed by peritoneum.Meanwhile,the arterial potassium level is always lower than that in the veins.[2]An arterial potassium level of 5.8 mmol/L presented an extremely serious complication to the patient.Therefore,anesthesia providers must necessarily conduct ABG analysis to monitor the level of arterial potassium during LP or LRP.

关 键 词：LAPAROSCOPIC PELVIC SURGERY HYPERKALEMIA 

分 类 号：R[医药卫生]