ArticleCureus2024
Effect of Regional Anesthesia on Intraoperative Hyperkalemia in Patients With Chronic Kidney Disease: Two Case Reports.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- The Present and Future of Pain Management in Patients With Chronic Kidney Disease: A Narrative Review.Cureus · 2025Review
- Future perspective on chronic kidney disease management.Journal of anesthesia and translational medicine · 2025Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Intraoperative hyperkalemia is particularly common in patients with chronic kidney disease (CKD). We report two cases of intraoperative hyperkalemia occurring under general anesthesia, while potassium levels remained stable with regional anesthesia alone. Case 1 involved a 69-year-old male with CKD who underwent total thyroidectomy under general anesthesia and developed intraoperative hyperkalemia, requiring glucose-insulin (GI) therapy. The same patient, however, maintained stable potassium levels during transurethral resection of a bladder tumor performed with spinal anesthesia. Case 2 involved a 72-year-old male with rheumatoid arthritis who underwent artificial joint replacement and tendon transplantation of his finger under a combination of general and regional anesthesia. He developed intraoperative hyperkalemia requiring GI, but stable potassium levels were maintained during bilateral total knee arthroplasty under epidural and spinal anesthesia. Our cases highlight the potential of regional anesthesia to reduce the risk of intraoperative hyperkalemia, particularly in patients with CKD.
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Registered trials
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