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Anaesth Intensive Care · Feb 2002
Case ReportsSystemic reperfusion injury during arm replantation requiring intraoperative amputation.
- C McCutcheon and B Hennessy.
- Department of Anaesthesia, St Vincent's Hospital, Melbourne, Victoria.
- Anaesth Intensive Care. 2002 Feb 1; 30 (1): 71-3.
AbstractThis case describes the attempted replantation of an arm following its traumatic amputation. After a five-and-a-half hour ischaemic time, perfusion of the arm was re-established. However over the ensuing hours, the patient developed hyperkalaemia, acidaemia and severe hypotension requiting high dose inotropic support. Ultimately re-amputation was necessary to treat the systemic effects of the ischaemia reperfusion syndrome.
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