select ad.sno,ad.journal,ad.title,ad.author_names,ad.abstract,ad.abstractlink,j.j_name,vi.* from articles_data ad left join journals j on j.journal=ad.journal left join vol_issues vi on vi.issue_id_en=ad.issue_id where ad.sno_en='48715' and ad.lang_id='8' and j.lang_id='8' and vi.lang_id='8'
आईएसएसएन: 2155-6148
Masato Nakasuji, Masataka Nomura, Miwako Yoshioka, Taeko Miyata, Norie Imanaka and Masuji Tanaka
We experienced two cases of mannitol-induced hyperkalemia during craniotomy for ruptured aneurysms. Hyperkalemia was first diagnosed by peaked T wave on the ECG. Serum potassium concentration in each patient was approximately 2 mEq/l higher than the baseline value, reaching 6.0 and 5.7 mEq/l, respectively, at 2 hours after completion of infusion of 45 and 30 g mannitol, respectively. Although the underlying mechanism was not elucidated, we recommend that patients with potassium concentration more than 4 mEq/l before infusion, should undergo repeated arterial blood gases analysis until at least 2 hrs after completion of mannitol infusion.