Changes in plasma potassium concentration during carbon dioxide pneumoperitoneum
Hyperkalaemia with ECG changes had been noted during prolonged carbon dioxide pneumoperitoneum in pigs. We have compared plasma potassium concentrations during surgery in 11 patients allocated randomly to undergo either laparoscopic or open appendectomy and in another 17 patients allocated randomly...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 1999-01, Vol.82 (1), p.137-139 |
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| container_title | British journal of anaesthesia : BJA |
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| creator | Perner, A Bugge, K Lyng, K M Schulze, S Kristensen, P A Bendtsen, A |
| description | Hyperkalaemia with ECG changes had been noted during prolonged carbon dioxide pneumoperitoneum in pigs. We have compared plasma potassium concentrations during surgery in 11 patients allocated randomly to undergo either laparoscopic or open appendectomy and in another 17 patients allocated randomly to either carbon dioxide pneumoperitoneum or abdominal wall lifting for laparoscopic colectomy. Despite an increasing metabolic acidosis, prolonged carbon dioxide pneumoperitoneum resulted in only a slight increase in plasma potassium concentrations, which was both statistically and clinically insignificant. Thus hyperkalaemia is unlikely to develop in patients with normal renal function undergoing carbon dioxide pneumoperitoneum for laparoscopic surgery. |
| doi_str_mv | 10.1093/bja/82.1.137 |
| format | Article |
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We have compared plasma potassium concentrations during surgery in 11 patients allocated randomly to undergo either laparoscopic or open appendectomy and in another 17 patients allocated randomly to either carbon dioxide pneumoperitoneum or abdominal wall lifting for laparoscopic colectomy. Despite an increasing metabolic acidosis, prolonged carbon dioxide pneumoperitoneum resulted in only a slight increase in plasma potassium concentrations, which was both statistically and clinically insignificant. Thus hyperkalaemia is unlikely to develop in patients with normal renal function undergoing carbon dioxide pneumoperitoneum for laparoscopic surgery.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/82.1.137</identifier><identifier>PMID: 10325852</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Appendectomy - methods ; Biological and medical sciences ; Carbon Dioxide - adverse effects ; Colectomy - methods ; Female ; Humans ; Intraoperative Period ; Laparoscopy ; Male ; Medical sciences ; Middle Aged ; Pneumoperitoneum, Artificial - adverse effects ; Potassium - blood ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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We have compared plasma potassium concentrations during surgery in 11 patients allocated randomly to undergo either laparoscopic or open appendectomy and in another 17 patients allocated randomly to either carbon dioxide pneumoperitoneum or abdominal wall lifting for laparoscopic colectomy. Despite an increasing metabolic acidosis, prolonged carbon dioxide pneumoperitoneum resulted in only a slight increase in plasma potassium concentrations, which was both statistically and clinically insignificant. Thus hyperkalaemia is unlikely to develop in patients with normal renal function undergoing carbon dioxide pneumoperitoneum for laparoscopic surgery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Appendectomy - methods</subject><subject>Biological and medical sciences</subject><subject>Carbon Dioxide - adverse effects</subject><subject>Colectomy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Period</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pneumoperitoneum, Artificial - adverse effects</subject><subject>Potassium - blood</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0M-L1DAUwPEgijuu3jxLEcGLnc1rkiY5LoO_YEEPeg6vSbpmmCY1aUX_ezN0QA-CpyTwyXvwJeQ50D1QzW6GI96obg97YPIB2QGX0PZSwkOyo5TKlmrorsiTUo6Uguy0eEyugLJOKNHtyOfDN4z3vjQhNvMJy4TNnBYsJaxTY1O0Pi4Zl5Bi49Yc4n1jMQ_nV0g_g_PNHP06pdnnsKTz9Sl5NOKp-GeX85p8fff2y-FDe_fp_cfD7V1reU-XllM3IFMCBq_ZyITmnQPUlndScse85hyUQuFR9VI5oZTmFN0gJIxKC8euyctt7pzT99WXxRzTmmNdaUBLqUEBq-jNhmxOpWQ_mjmHCfMvA9Sc65laz6jOgKn1Kn9xmbkOk3d_4S1XBa8uAIvF05gx2lD-uF5SRVVlrzeW1vl_G_tN-prqR_DZFBt8re5C9nYxLoV_f_wNs_uWpg</recordid><startdate>199901</startdate><enddate>199901</enddate><creator>Perner, A</creator><creator>Bugge, K</creator><creator>Lyng, K M</creator><creator>Schulze, S</creator><creator>Kristensen, P A</creator><creator>Bendtsen, A</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope></search><sort><creationdate>199901</creationdate><title>Changes in plasma potassium concentration during carbon dioxide pneumoperitoneum</title><author>Perner, A ; Bugge, K ; Lyng, K M ; Schulze, S ; Kristensen, P A ; Bendtsen, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-40dba3851be93f35942d1a9c42774d3e944188a5ea8678d588940adb571f895d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Appendectomy - methods</topic><topic>Biological and medical sciences</topic><topic>Carbon Dioxide - adverse effects</topic><topic>Colectomy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Period</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumoperitoneum, Artificial - adverse effects</topic><topic>Potassium - blood</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perner, A</creatorcontrib><creatorcontrib>Bugge, K</creatorcontrib><creatorcontrib>Lyng, K M</creatorcontrib><creatorcontrib>Schulze, S</creatorcontrib><creatorcontrib>Kristensen, P A</creatorcontrib><creatorcontrib>Bendtsen, A</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perner, A</au><au>Bugge, K</au><au>Lyng, K M</au><au>Schulze, S</au><au>Kristensen, P A</au><au>Bendtsen, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in plasma potassium concentration during carbon dioxide pneumoperitoneum</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><stitle>Br J Anaesth</stitle><addtitle>Br J Anaesth</addtitle><date>1999-01</date><risdate>1999</risdate><volume>82</volume><issue>1</issue><spage>137</spage><epage>139</epage><pages>137-139</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>Hyperkalaemia with ECG changes had been noted during prolonged carbon dioxide pneumoperitoneum in pigs. We have compared plasma potassium concentrations during surgery in 11 patients allocated randomly to undergo either laparoscopic or open appendectomy and in another 17 patients allocated randomly to either carbon dioxide pneumoperitoneum or abdominal wall lifting for laparoscopic colectomy. Despite an increasing metabolic acidosis, prolonged carbon dioxide pneumoperitoneum resulted in only a slight increase in plasma potassium concentrations, which was both statistically and clinically insignificant. Thus hyperkalaemia is unlikely to develop in patients with normal renal function undergoing carbon dioxide pneumoperitoneum for laparoscopic surgery.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>10325852</pmid><doi>10.1093/bja/82.1.137</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 0007-0912 1471-6771 |
| language | eng |
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| subjects | Adolescent Adult Aged Aged, 80 and over Appendectomy - methods Biological and medical sciences Carbon Dioxide - adverse effects Colectomy - methods Female Humans Intraoperative Period Laparoscopy Male Medical sciences Middle Aged Pneumoperitoneum, Artificial - adverse effects Potassium - blood Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Changes in plasma potassium concentration during carbon dioxide pneumoperitoneum |
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