Two cases of hyperkalemia after administration of hypertonic mannitol during craniotomy

Mannitol is used commonly as an osmotic diuretic to reduce intracranial pressure during the perioperative period of craniotomy. The rapid administration of mannitol solution can cause an imbalance of electrolytes such as sodium and potassium. Here, we report two cases of mannitol-induced hyperkalemi...

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Veröffentlicht in:Journal of anesthesia 2005-02, Vol.19 (1), p.75-77
Hauptverfasser: Hirota, Kiichi, Hara, Tomoko, Hosoi, Satoshi, Sasaki, Yukiko, Hara, Yasufumi, Adachi, Takehiko
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container_issue 1
container_start_page 75
container_title Journal of anesthesia
container_volume 19
creator Hirota, Kiichi
Hara, Tomoko
Hosoi, Satoshi
Sasaki, Yukiko
Hara, Yasufumi
Adachi, Takehiko
description Mannitol is used commonly as an osmotic diuretic to reduce intracranial pressure during the perioperative period of craniotomy. The rapid administration of mannitol solution can cause an imbalance of electrolytes such as sodium and potassium. Here, we report two cases of mannitol-induced hyperkalemia. We demonstrate that administration of mannitol during craniotomy increases potassium iron concentration, and in some cases it may cause disturbance of cardiac function.
doi_str_mv 10.1007/s00540-004-0270-4
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language eng
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subjects Adult
Aged
Anesthesia
Blood Gas Analysis
Care and treatment
Case studies
Cerebral Hemorrhage, Traumatic - surgery
Complications and side effects
Craniotomy
Diagnosis
Diuretics - adverse effects
Dosage and administration
Electrocardiography
Humans
Hyperkalemia
Hyperkalemia - blood
Hyperkalemia - chemically induced
Hypertonic Solutions
Intracranial Aneurysm - surgery
Intraoperative Complications - blood
Intraoperative Complications - chemically induced
Iron - blood
Male
Mannitol
Mannitol - adverse effects
Potassium - blood
Risk factors
Subarachnoid Hemorrhage - surgery
Water-Electrolyte Imbalance - chemically induced
title Two cases of hyperkalemia after administration of hypertonic mannitol during craniotomy
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