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- Sebastien Gebara, Gilles Adans-Dester, and Laurent Bairy.
- From the Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
- A A Pract. 2024 Mar 1; 18 (3): e01760e01760.
AbstractA 63-year-old man with stage 3a chronic kidney disease (CKD) and mild hyperkalemia was scheduled for a robot-assisted prostatectomy. He was being treated with lisinopril. Owing to mild hyperkalemia (6.2 mmol/L), lisinopril was discontinued, and sodium polystyrene sulfonate was administered on the day before surgery. Three hours after incision, electrocardiographic signs of hyperkalemia manifested with the serum potassium concentration rising to 8 mmol/L. Although hyperkalemia is a common and well-documented side effect of angiotensin-converting enzyme inhibitors in patients with CKD, we report an extreme increase in potassium within a very short time period despite prior drug discontinuation.Copyright © 2024 International Anesthesia Research Society.
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