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



Dabbagh A1 ; Foroughi M2 ; Imani A3
Authors

Source: Journal of Cellular and Molecular Anesthesia Published:2019


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. © 2019 Shahid Beheshti University of Medical Sciences, Anesthesiology Research Center. All rights reserved.