Induced Therapeutic Hyperkalemia as a Method for Treatment of Refractory Arrhythmias after Aortic Declamping in Cardiac Surgical Procedures: A Narrative Review

Authors

Ali DabbaghAli Dabbagh ORCID1,*, Mahnoosh Foroughi2, Alireza ImaniAlireza Imani ORCID3
1Professor of Cardiac Anesthesia; Editor in Chief, JCMA Anesthesiology Research Center Shahid Beheshti University of Medical Sciences, Tehran, Iran
2MD, Associate Professor, Department of Cardiac Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3PhD, Associate Professor, Department of Physiology, School of medicine, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Author: Professor of Cardiac Anesthesia; Editor in Chief, JCMA Anesthesiology Research Center Shahid Beheshti University of Medical Sciences, Tehran, Iran Email: [email protected]

Journal of Cellular & Molecular Anesthesia:Vol. 4, issue 3; e149587
Published online:Jan 28, 2020
Article type:Brief Communications
How to Cite:Dabbagh A, Foroughi M, Imani A. Induced Therapeutic Hyperkalemia as a Method for Treatment of Refractory Arrhythmias after Aortic Declamping in Cardiac Surgical Procedures: A Narrative Review. J Cell Mol Anesth. 2019;4(3):e149587. doi: https://doi.org/10.22037/jcma.v4i3.28166

Abstract

Cardiac surgical procedures are among the most complex operations with a detailed list of perioperative care. Weaning from CPB is associated with a number of disturbances in cardiac rhythm. One of the most challenging cardiac rhythm disturbances is the ventricular arrhythmia (tachycardia/fibrillation). Cardioversion and antiarrhythmic agents may be ineffective after aortic declamping; systemic hyperkalemia may be a therapeutic option. Here, we review the available studies regarding this issue and the possible underlying mechanisms of this therapeutic approach.

References

  • 1.
    References are in the PDF file of the article.

Copyright

© 2019, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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