Hyperkalemia and Residual Neuromuscular Blockade After Kidney Transplantation
A 55-year-old woman underwent cadaveric kidney transplantation complicated by postoperative hypotension which required repeat laparotomy and abdominal exploration. At the end of the second operation, the patient showed signs of mild residual neuromuscular blockade and so was extubated in the recovery room. Shortly thereafter, the patient developed hypoventilation and was reintubated. Further investigation also revealed hyperkalemia. Lessons discussed in this chapter include anesthetic considerations for chronic kidney disease, management of hyperkalemia, assessment of recovery from neuromuscular blockade, and extubation criteria.
KeywordsChronic Kidney Disease Negative Predictive Value Neuromuscular Blockade Polycystic Kidney Disease Adductor Pollicis
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