Life-threatening hyperkalaemia during general anaesthesia in a domestic short-haired cat
There are an increasing number of reports describing the development of hyperkalaemia in healthy veterinary patients during general anaesthesia. While the majority of cases are dogs, it has also been described in large non-domestic cats under general anaesthesia. To the authors’ knowledge, there are...
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| Veröffentlicht in: | Veterinary record case reports 2020-10, Vol.8 (4), p.n/a |
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| creator | Felisberto, Ricardo Auckburally, Adam Flaherty, Derek |
| description | There are an increasing number of reports describing the development of hyperkalaemia in healthy veterinary patients during general anaesthesia. While the majority of cases are dogs, it has also been described in large non-domestic cats under general anaesthesia. To the authors’ knowledge, there are no reported cases of acute hyperkalaemia in healthy domestic cats associated with anaesthesia. This case report describes the development of hyperkalaemia in a nine-year-old domestic short-haired cat, anaesthetised for fracture repair. Hyperkalaemia (8.0 mmol/l) was recognised due to the sudden development of bradycardia, spiked T waves, decreased amplitude of P waves, progressing to atrial standstill on the ECG. Initial treatment was with calcium gluconate, insulin and glucose, which resolved the problem, but the hyperkalaemia recurred during recovery from anaesthesia, necessitating further treatment. Possible causes of the hyperkalaemia are discussed. |
| doi_str_mv | 10.1136/vetreccr-2020-001243 |
| format | Article |
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While the majority of cases are dogs, it has also been described in large non-domestic cats under general anaesthesia. To the authors’ knowledge, there are no reported cases of acute hyperkalaemia in healthy domestic cats associated with anaesthesia. This case report describes the development of hyperkalaemia in a nine-year-old domestic short-haired cat, anaesthetised for fracture repair. Hyperkalaemia (8.0 mmol/l) was recognised due to the sudden development of bradycardia, spiked T waves, decreased amplitude of P waves, progressing to atrial standstill on the ECG. Initial treatment was with calcium gluconate, insulin and glucose, which resolved the problem, but the hyperkalaemia recurred during recovery from anaesthesia, necessitating further treatment. Possible causes of the hyperkalaemia are discussed.</description><identifier>ISSN: 2052-6121</identifier><identifier>EISSN: 2052-6121</identifier><identifier>DOI: 10.1136/vetreccr-2020-001243</identifier><language>eng</language><publisher>London: British Veterinary Association</publisher><subject>Biochemistry ; bradycardia ; Cardiac arrhythmia ; Case reports ; cats ; General anesthesia ; Glucose ; Hemoglobin ; hyperkalaemia ; Insulin ; intraoperative ; Methadone ; Plasma ; Postoperative period</subject><ispartof>Veterinary record case reports, 2020-10, Vol.8 (4), p.n/a</ispartof><rights>British Veterinary Association 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>British Veterinary Association 2020</rights><rights>2020 British Veterinary Association 2020. No commercial re-use. See rights and permissions. 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While the majority of cases are dogs, it has also been described in large non-domestic cats under general anaesthesia. To the authors’ knowledge, there are no reported cases of acute hyperkalaemia in healthy domestic cats associated with anaesthesia. This case report describes the development of hyperkalaemia in a nine-year-old domestic short-haired cat, anaesthetised for fracture repair. Hyperkalaemia (8.0 mmol/l) was recognised due to the sudden development of bradycardia, spiked T waves, decreased amplitude of P waves, progressing to atrial standstill on the ECG. Initial treatment was with calcium gluconate, insulin and glucose, which resolved the problem, but the hyperkalaemia recurred during recovery from anaesthesia, necessitating further treatment. Possible causes of the hyperkalaemia are discussed.</description><subject>Biochemistry</subject><subject>bradycardia</subject><subject>Cardiac arrhythmia</subject><subject>Case reports</subject><subject>cats</subject><subject>General anesthesia</subject><subject>Glucose</subject><subject>Hemoglobin</subject><subject>hyperkalaemia</subject><subject>Insulin</subject><subject>intraoperative</subject><subject>Methadone</subject><subject>Plasma</subject><subject>Postoperative period</subject><issn>2052-6121</issn><issn>2052-6121</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkEtLw0AQxxdRsGi_gYeA57Wzjzx68KDFqlAQRMXbstlMmq151N1U6bd3QxQ89jTDzP83jz8hFwyuGBPJ7At7h8Y4yoEDBWBciiMy4RBzmjDOjv_lp2Tq_QaCSGSZiPmEvK9sibSvHOoeW9uuo2q_Rfeha42N1VGxc0NxjS06XUe61ej7Cn1o2TYK_a4JBWsiX3Wup5W2DovI6P6cnJS69jj9jWfkdXn3snigq6f7x8XNiuYiFUBLjUUBKGOTIueS53KeFHkMucG51kWWpkYKyFM0nGVgWDIvMTZM6PAOR8bFGbkc525d97kLt6hNt3NtWKm4jMUgS1lQyVFlXOe9w1JtnW202ysGarBR_dmoBhvVaGPArkfs29a4P4hRb88LfrsEiAUEfjbyebM5bOMPdOSKfg</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Felisberto, Ricardo</creator><creator>Auckburally, Adam</creator><creator>Flaherty, Derek</creator><general>British Veterinary Association</general><general>Blackwell Publishing Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20201001</creationdate><title>Life-threatening hyperkalaemia during general anaesthesia in a domestic short-haired cat</title><author>Felisberto, Ricardo ; Auckburally, Adam ; Flaherty, Derek</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b3730-faedd0e45c7e2242b496db50bce9aad877c430b7ec2180c169fe5c13a6122e123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biochemistry</topic><topic>bradycardia</topic><topic>Cardiac arrhythmia</topic><topic>Case reports</topic><topic>cats</topic><topic>General anesthesia</topic><topic>Glucose</topic><topic>Hemoglobin</topic><topic>hyperkalaemia</topic><topic>Insulin</topic><topic>intraoperative</topic><topic>Methadone</topic><topic>Plasma</topic><topic>Postoperative period</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Felisberto, Ricardo</creatorcontrib><creatorcontrib>Auckburally, Adam</creatorcontrib><creatorcontrib>Flaherty, Derek</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Veterinary record case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Felisberto, Ricardo</au><au>Auckburally, Adam</au><au>Flaherty, Derek</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Life-threatening hyperkalaemia during general anaesthesia in a domestic short-haired cat</atitle><jtitle>Veterinary record case reports</jtitle><date>2020-10-01</date><risdate>2020</risdate><volume>8</volume><issue>4</issue><epage>n/a</epage><issn>2052-6121</issn><eissn>2052-6121</eissn><abstract>There are an increasing number of reports describing the development of hyperkalaemia in healthy veterinary patients during general anaesthesia. While the majority of cases are dogs, it has also been described in large non-domestic cats under general anaesthesia. To the authors’ knowledge, there are no reported cases of acute hyperkalaemia in healthy domestic cats associated with anaesthesia. This case report describes the development of hyperkalaemia in a nine-year-old domestic short-haired cat, anaesthetised for fracture repair. Hyperkalaemia (8.0 mmol/l) was recognised due to the sudden development of bradycardia, spiked T waves, decreased amplitude of P waves, progressing to atrial standstill on the ECG. Initial treatment was with calcium gluconate, insulin and glucose, which resolved the problem, but the hyperkalaemia recurred during recovery from anaesthesia, necessitating further treatment. Possible causes of the hyperkalaemia are discussed.</abstract><cop>London</cop><pub>British Veterinary Association</pub><doi>10.1136/vetreccr-2020-001243</doi><tpages>5</tpages></addata></record> |
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| source | Wiley Online Library All Journals |
| subjects | Biochemistry bradycardia Cardiac arrhythmia Case reports cats General anesthesia Glucose Hemoglobin hyperkalaemia Insulin intraoperative Methadone Plasma Postoperative period |
| title | Life-threatening hyperkalaemia during general anaesthesia in a domestic short-haired cat |
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