Absence of adverse outcomes in hyperkalemic patients undergoing vascular access surgery
The decision to cancel vascular access surgery because of hyperkalemia requires knowledge of the risks vs benefits. This study sought to identify and characterize cases where surgery had been performed in patients with uncorrected hyperkalemia. One thousand four hundred and seventy-two consecutive c...
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| Veröffentlicht in: | Canadian journal of anesthesia 2003-06, Vol.50 (6), p.553-557 |
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| creator | OLSON, Ronald P SCHOW, Adam J MCCANN, Richard LUBARSKY, David A GAN, Tong J |
| description | The decision to cancel vascular access surgery because of hyperkalemia requires knowledge of the risks vs benefits. This study sought to identify and characterize cases where surgery had been performed in patients with uncorrected hyperkalemia.
One thousand four hundred and seventy-two consecutive cases of vascular access surgery at an academic medical centre between 1995 and 2000 by a single surgeon were analyzed retrospectively.
Eight cases had clear documentation that the case proceeded with hyperkalemia. Anesthesia techniques were one general anesthetic, one regional block, five monitored anesthesia care (MAC), and one local infiltration only. Mean potassium was 6.9 mmol x L(-1) (range 6.1-8.0). In this series of selected asymptomatic hyperkalemic patients undergoing low risk surgery, no adverse results occurred.
While this review of eight cases (only one receiving general anesthesia) cannot be used to prove the safety of proceeding to surgery with uncorrected hyperkalemia, it does suggest that asymptomatic hyperkalemia may not be an absolute contraindication to vascular access surgery. |
| doi_str_mv | 10.1007/BF03018639 |
| format | Article |
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One thousand four hundred and seventy-two consecutive cases of vascular access surgery at an academic medical centre between 1995 and 2000 by a single surgeon were analyzed retrospectively.
Eight cases had clear documentation that the case proceeded with hyperkalemia. Anesthesia techniques were one general anesthetic, one regional block, five monitored anesthesia care (MAC), and one local infiltration only. Mean potassium was 6.9 mmol x L(-1) (range 6.1-8.0). In this series of selected asymptomatic hyperkalemic patients undergoing low risk surgery, no adverse results occurred.
While this review of eight cases (only one receiving general anesthesia) cannot be used to prove the safety of proceeding to surgery with uncorrected hyperkalemia, it does suggest that asymptomatic hyperkalemia may not be an absolute contraindication to vascular access surgery.</description><identifier>ISSN: 0832-610X</identifier><identifier>EISSN: 1496-8975</identifier><identifier>DOI: 10.1007/BF03018639</identifier><identifier>PMID: 12826545</identifier><identifier>CODEN: CJOAEP</identifier><language>eng</language><publisher>Toronto, ON: Canadian Anesthesiologists' Society</publisher><subject>Adult ; Aged ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Catheterization, Central Venous ; Catheters, Indwelling ; Contraindications ; Electrocardiography ; Female ; Humans ; Hyperkalemia - complications ; Male ; Medical research ; Medical sciences ; Middle Aged ; Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics ; Retrospective Studies ; Surgery ; Vascular Surgical Procedures</subject><ispartof>Canadian journal of anesthesia, 2003-06, Vol.50 (6), p.553-557</ispartof><rights>2003 INIST-CNRS</rights><rights>Canadian Anesthesiologists 2003.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-eb3d9485fe040604e461b95f9c8a9ab667ce3ec6400bc2e57797d2a2590076d33</citedby><cites>FETCH-LOGICAL-c376t-eb3d9485fe040604e461b95f9c8a9ab667ce3ec6400bc2e57797d2a2590076d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15126284$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12826545$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OLSON, Ronald P</creatorcontrib><creatorcontrib>SCHOW, Adam J</creatorcontrib><creatorcontrib>MCCANN, Richard</creatorcontrib><creatorcontrib>LUBARSKY, David A</creatorcontrib><creatorcontrib>GAN, Tong J</creatorcontrib><title>Absence of adverse outcomes in hyperkalemic patients undergoing vascular access surgery</title><title>Canadian journal of anesthesia</title><addtitle>Can J Anaesth</addtitle><description>The decision to cancel vascular access surgery because of hyperkalemia requires knowledge of the risks vs benefits. This study sought to identify and characterize cases where surgery had been performed in patients with uncorrected hyperkalemia.
One thousand four hundred and seventy-two consecutive cases of vascular access surgery at an academic medical centre between 1995 and 2000 by a single surgeon were analyzed retrospectively.
Eight cases had clear documentation that the case proceeded with hyperkalemia. Anesthesia techniques were one general anesthetic, one regional block, five monitored anesthesia care (MAC), and one local infiltration only. Mean potassium was 6.9 mmol x L(-1) (range 6.1-8.0). In this series of selected asymptomatic hyperkalemic patients undergoing low risk surgery, no adverse results occurred.
While this review of eight cases (only one receiving general anesthesia) cannot be used to prove the safety of proceeding to surgery with uncorrected hyperkalemia, it does suggest that asymptomatic hyperkalemia may not be an absolute contraindication to vascular access surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Catheterization, Central Venous</subject><subject>Catheters, Indwelling</subject><subject>Contraindications</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperkalemia - complications</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Vascular Surgical Procedures</subject><issn>0832-610X</issn><issn>1496-8975</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpd0E1r20AQBuClpDRO0kt_QFgCzSGgdFb7fXRMnRYCvaS0N7FajRyl-nB3JIP_fRRiMOQ0c3h4mXkZ-yLgVgDYb3drkCCckf4DWwjlTea81SdsAU7mmRHw95SdET0DgDPafWKnIne50Uov2J9lSdhH5EPNQ7XDRPM6jXHokHjT86f9FtO_0GLXRL4NY4P9SHzqK0yboek3fBcoTm1IPMSIRJymtMG0v2Af69ASfj7Mc_Z7_f1x9SN7-HX_c7V8yKK0ZsywlJVXTtcICgwoVEaUXtc-uuBDaYyNKDEaBVDGHLW13lZ5yLWfHzeVlOfs-i13m4b_E9JYdA1FbNvQ4zBRYaWyIJ2d4dU7-DxMqZ9vK5wT0mqhzYxu3lBMA1HCutimpgtpXwgoXrsujl3P-PKQOJUdVkd6KHcGXw9g7ii0dQp9bOjotMhN7pR8AYlMheI</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>OLSON, Ronald P</creator><creator>SCHOW, Adam J</creator><creator>MCCANN, Richard</creator><creator>LUBARSKY, David A</creator><creator>GAN, Tong J</creator><general>Canadian Anesthesiologists' Society</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20030601</creationdate><title>Absence of adverse outcomes in hyperkalemic patients undergoing vascular access surgery</title><author>OLSON, Ronald P ; SCHOW, Adam J ; MCCANN, Richard ; LUBARSKY, David A ; GAN, Tong J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-eb3d9485fe040604e461b95f9c8a9ab667ce3ec6400bc2e57797d2a2590076d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Catheterization, Central Venous</topic><topic>Catheters, Indwelling</topic><topic>Contraindications</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperkalemia - complications</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Vascular Surgical Procedures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OLSON, Ronald P</creatorcontrib><creatorcontrib>SCHOW, Adam J</creatorcontrib><creatorcontrib>MCCANN, Richard</creatorcontrib><creatorcontrib>LUBARSKY, David A</creatorcontrib><creatorcontrib>GAN, Tong J</creatorcontrib><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 Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</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><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OLSON, Ronald P</au><au>SCHOW, Adam J</au><au>MCCANN, Richard</au><au>LUBARSKY, David A</au><au>GAN, Tong J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Absence of adverse outcomes in hyperkalemic patients undergoing vascular access surgery</atitle><jtitle>Canadian journal of anesthesia</jtitle><addtitle>Can J Anaesth</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>50</volume><issue>6</issue><spage>553</spage><epage>557</epage><pages>553-557</pages><issn>0832-610X</issn><eissn>1496-8975</eissn><coden>CJOAEP</coden><abstract>The decision to cancel vascular access surgery because of hyperkalemia requires knowledge of the risks vs benefits. This study sought to identify and characterize cases where surgery had been performed in patients with uncorrected hyperkalemia.
One thousand four hundred and seventy-two consecutive cases of vascular access surgery at an academic medical centre between 1995 and 2000 by a single surgeon were analyzed retrospectively.
Eight cases had clear documentation that the case proceeded with hyperkalemia. Anesthesia techniques were one general anesthetic, one regional block, five monitored anesthesia care (MAC), and one local infiltration only. Mean potassium was 6.9 mmol x L(-1) (range 6.1-8.0). In this series of selected asymptomatic hyperkalemic patients undergoing low risk surgery, no adverse results occurred.
While this review of eight cases (only one receiving general anesthesia) cannot be used to prove the safety of proceeding to surgery with uncorrected hyperkalemia, it does suggest that asymptomatic hyperkalemia may not be an absolute contraindication to vascular access surgery.</abstract><cop>Toronto, ON</cop><pub>Canadian Anesthesiologists' Society</pub><pmid>12826545</pmid><doi>10.1007/BF03018639</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Anesthesia Anesthesia depending on type of surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Catheterization, Central Venous Catheters, Indwelling Contraindications Electrocardiography Female Humans Hyperkalemia - complications Male Medical research Medical sciences Middle Aged Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics Retrospective Studies Surgery Vascular Surgical Procedures |
| title | Absence of adverse outcomes in hyperkalemic patients undergoing vascular access surgery |
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