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Scholars Journal of Medical Case Reports | Volume-4 | Issue-10
Severe Hyperkalemia and Cardiac Arrest Following Rapid Sequence Induction and Intubation Using Succinylcholine: A Case report
Jeong Han Lee
Published: Oct. 31, 2016 | 151 145
DOI: 10.36347/sjmcr.2016.v04i10.015
Pages: 748-751
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Abstract
A 48-year-old male patient who had undergone ventriculoperitoneal (VP) shunt surgery for hydrocephalus 18 days earlier was scheduled to undergo emergency VP shunt revision due to inflammation in the abdomen. Intubation was performed using succinylcholine because the patient was not in a fasting state. Following intubation, the patient experienced sudden cardiac arrest, and the potassium level showed an increase from the preoperative level of 3.4 mEq/L to 9.2 mEq/L. The patient underwent treatment for hyperkalemia while cardiopulmonary resuscitation (CPR) was performed. Following recovery of the vital signs, the patient underwent the shunt revision surgery. He was then transferred to the intensive care unit (ICU) for monitoring, and subsequently discharged from the hospital once his condition had stabilized.