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Canadian Journal of Anesthesia, Vol 33, 379-381, Copyright © 1986 by Canadian Anesthesiologists' Society

Hyperkalaemic Cardiac Arrest following Intravenous Hydralazine and Propranolol Therapy Post-Embolectomy

DONALD R. HICKEY MD1, LAURENCE HARRISON MD1, JAMES G. RAMSAY MD1, and J. EARL WYNANDS MD1

1 Department of Anaesthesia, Royal Victoria Hospital, Montreal, Quebec

Address correspondence to: Dr. James G. Ramsay, Department of Anaesthesia, Royal Victoria Hospital, 687 Pine Avenue West, Montreal, Quebec, H3A 1A1.

A case of hyperkalaemic cardiac arrest occurring in a 50-year-old woman after bilateral femoral embolectomies is presented. The postoperative course was complicated by acute renal failure, metabolic acidosis, hypotension and low cardiac output. The possible contribution of hydralazine and propranolol therapy to the rapid development of hyperkalaemia is discussed.

Key Words: COMPLICATIONS: cardiac arrest, hyperkalaemia, myonephropathic syndrome • SURGERY: femoral embolectomy • CARDIOVASCULAR AGENTS: hydralazine, propranolol






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Copyright © 1986 by the Canadian Anesthesiologists' Society.