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Changes in plasma potassium concentration during carbon dioxide pneumoperitoneum

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Hyperkalaemia with ECG changes had been noted during prolonged carbon dioxide pneumoperitoneum in pigs. We have compared plasma potassium concentrations during surgery in 11 patients allocated randomly to undergo either laparoscopic or open appendectomy and in another 17 patients allocated randomly to either carbon dioxide pneumoperitoneum or abdominal wall lifting for laparoscopic colectomy. Despite an increasing metabolic acidosis, prolonged carbon dioxide pneumoperitoneum resulted in only a slight increase in plasma potassium concentrations, which was both statistically and clinically insignificant. Thus hyperkalaemia is unlikely to develop in patients with normal renal function undergoing carbon dioxide pneumoperitoneum for laparoscopic surgery.
OriginalsprogEngelsk
TidsskriftBritish Journal of Anaesthesia
Vol/bind82
Udgave nummer1
Sider (fra-til)137-9
Antal sider3
ISSN0007-0912
StatusUdgivet - jan. 1999

ID: 48552972