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Perioperative Management of a Patient with Hypokalemic Periodic Paralysis: A Case Report

Journal of Acute Care Surgery 2020년 10권 3호 p.117 ~ 119
배성일, 황예란, 김종원, 탁성영, 손주태,
소속 상세정보
배성일 ( Bae Sung-Il ) - Gyeongsang National University Hospital Department of Anesthesiology and Pain Medicine
황예란 ( Hwang Ye-Ran ) - Gyeongsang National University Hospital Department of Anesthesiology and Pain Medicine
김종원 ( Kim Jong-Won ) - Gyeongsang National University Hospital Department of Anesthesiology and Pain Medicine
탁성영 ( Tak Seong-Yeong ) - Gyeongsang National University Hospital Department of Anesthesiology and Pain Medicine
손주태 ( Sohn Ju-Tae ) - Gyeongsang National University Hospital Department of Anesthesiology and Pain Medicine

Abstract


Potassium imbalances can be life-threatening and must be identified and corrected prior to surgery. Patients with hypokalemic periodic paralysis (hypoKPP) experience recurrent muscle weakness or paralysis due to hypokalemia. We present the management of a rare case of hypoKPP during surgery and discuss the general complications and perioperative management of the condition. A 70-year-old man with hypoKPP visited the emergency room with abdominal pain requiring a cholecystectomy. He had not experienced hypoKPP since 1993, 1 year after diagnosis. Preoperative examinations were normal, with a serum potassium level of 4.5 mEq/L. Surgery and recovery were uneventful, with potassium levels ≥ 3.3 mEq/L. The post-surgery serum potassium level was 4.3 mEq/L. The patient had no signs of hypokalemia until 1-week post-surgery. Thorough preoperative preparation, careful assessment of serum potassium levels, avoidance of triggering factors, and appropriate postoperative pain relief can help prevent a hypokalemic attack in patients with hypoKPP.

키워드

hypokalemic periodic paralysis; perioperative care; potassium

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