Summary
In summary, one should be aware that hyperventilation and hypokalaemia occur frequently in the operating room under ordinary clinical conditions. An awareness of the rapidity with which these changes occur, and their extent as well as their potential hazards, should cause consideration of more aggressive attempts to maintain normocarbia and to use supplemental potassium during anaesthesia, particularly in patients with cardiac disease.
Résumé
Ce travail est un rappel de la fréquence des situations ďhyperventilation et ďhypokaliémie dans la pratique anesthésique courante. La réalisation de la rapidité avec laquelle surviennent ces changements, de leur importance et de leurs complications possibles, devrait nous rendre plus attentifs au maintien de la normocarbie et à celui de la normokaliémie par ľadministration de cet électrolyte en cours ďanesthésie. Tout ceci est encore vrai chez le malade cardiaque et ľhypertendu qui reçoivent de la digitale ou des diurétiques.
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Sanchez, M.G., Finlayson, D.C. Dynamics of serum potassium change during acute respiratory alkalosis. Canad. Anaesth. Soc. J. 25, 495–498 (1978). https://doi.org/10.1007/BF03007412
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DOI: https://doi.org/10.1007/BF03007412