Severe Metabolic Acidosis during Intraperitoneal Hyperthermic Perfusion in Recurrent Ovarian Cancer: Case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 673-676, 1997.
Article
en Ko
| WPRIM
| ID: wpr-98300
Biblioteca responsable:
WPRO
ABSTRACT
Intraperitoneal hyperthermic perfusion(IPHP) was performed under combined epidural & general anesthesia in 57 year old female patient with recurrent ovarian cancer. She had past history of diabetes mellitus. Metabolic acidosis & hypokalemia were already developed before IPHP and aggravated during IPHP. NaHCO3 300mEq & KCl 40mEq were administered intravenously for three hours. In this case, we deduced that the causes of metabolic acidosis may be anaerobic glycolysis due to peripheral circulatory impairment from hypothermia, degradation of tumor cells by hyperthermia, and poor general condition with prolonged operation. The causes of hypokalemia were suspected to be continuous infusion of regular insulin, massive NaHCO3 administration, and diabetic ketoacidosis. Therefore, we recommend when performing IPHP in DM patient, precise preoperative evaluation and careful monitoring of arterial blood gas & electrolyte.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Neoplasias Ováricas
/
Perfusión
/
Equilibrio Ácido-Base
/
Acidosis
/
Cetoacidosis Diabética
/
Diabetes Mellitus
/
Fiebre
/
Glucólisis
/
Hipopotasemia
/
Hipotermia
Límite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Año:
1997
Tipo del documento:
Article