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Pharmacologic Treatment of Chronic Hyperkalemia in Patients with Chronic Kidney Disease

Kim GH

Hyperkalemia is frequently complicated in patients with advanced chronic kidney disease (CKD) because kidney is the major route of potassium excretion. Urinary potassium excretion is reduced according to the decline...
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Combination of extracorporeal membrane oxygenation and in-line hemofiltration for the acute hyperkalemic cardiac arrest in a patient with Duchenne muscular dystrophy following orthopedic surgery: a case report

Kim SH, Song JH, Jung KT

BACKGROUND: Duchenne muscular dystrophy (DMD) is the most common childhood muscular dystrophy that anesthesiologists can encounter in the operation room, and patients with DMD are susceptible to complications such as...
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Resuscitation from a pH of 6.5: A Case Report and Review of Pathophysiology and Management of Extreme Acidosis from Hypovolemic Shock after Trauma

Balmaceda , Arora S, Sondheimer I, Hollon MM

Extreme acidosis is a life-threatening physiological state that causes disturbances in the cardiovascular, pulmonary, immune, and hematological systems. Trauma patients commonly present to the operating room (OR) in hypovolemic shock,...
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Transient Pseudohypoaldosteronism in a 5-Month-old Infant Manifested as a Failure to Thrive

Lee JW, Cho SJ, Kim HS

Pseudohypoaldosteronism (PHA) in infants is manifested by presence of hyperkalemia, hyponatremia, and metabolic acidosis. At initial stages, PAH is generally suspected as congenital adrenal hyperplasia. Transient PHA has been reported...
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Intraoperative management of liver transplant recipients having severe renal dysfunction: results of 42 cases

Kim HY, Lee JE, Ko JS, Gwak MS, Lee SK, Kim GS

PURPOSE: Whereas continuous renal replacement therapy (CRRT) has been utilized during liver transplantation (LT), there was a lack of evidence to support this practice. We investigated the adverse events at...
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Sudden Intraoperative Hyperkalemia during Laparoscopic Radical Nephrectomy in a Patient with Underlying Renal Insufficiency

Jung SH, Han YJ, Shin SH, Lee HS, Lee JY

We experienced a case of severe intraoperative hyperkalemia during laparoscopic radical nephrectomy in a 60-year-old male patient with renal insufficiency, whose hypertension had been managed by preoperative angiotensin II receptor...
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Common features of atopic dermatitis with hypoproteinemia

Jo SY, Lee CH, Jung WJ, Kim SW, Hwang YH

PURPOSE: The purpose of this study was to identify the causes, symptoms, and complications of hypoproteinemia to prevent hypoproteinemia and provide appropriate treatment to children with atopic dermatitis. METHODS: Children diagnosed...
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Study design of Real World Evidence for Treatment of Hyperkalemia in the Emergency Department (REVEAL-ED): a multicenter, prospective, observational study

Rafique Z, Kosiborod , Clark CL, Singer AJ, Turner S, Miller J, Char D, Peacock WF, REVEAL-ED study investigators

OBJECTIVE: Hyperkalemia affects up to 10% of hospitalized patients and, if left untreated, can lead to serious cardiac arrhythmias or death. Although hyperkalemia is frequently encountered in the emergency department...
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A case series on simultaneous liver and kidney transplantation: do we need intraoperative renal replacement therapy?

Wi W, Hahm TS, Kim GS

Since the implementation of the model for end-stage liver disease (MELD) scoring system in 2002, the liver transplantation (LT) society has observed a substantial increase in the number of recipients...
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ST segment

Kwak CH

The ST segment corresponds to the plateau phase of ventricular repolarization, i.e., phase 2 of the action potential. Heightened awareness of the characteristic patterns of ST segment changes is vital...
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A retrospective study of emergency department potassium disturbances: severity, treatment, and outcomes

Singer AJ, Thode HC, Peacock WF

OBJECTIVE: Disturbances in potassium (K) levels are relatively common and may be associated with significant morbidity and mortality; however, treatments vary. Our purpose was to determine the incidence, treatments, and...
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Bradyarrhythmia Can Increase the Plasma Level of N-Terminal Pro-Brain Natriuretic Peptide

Lee YS

BACKGROUND AND OBJECTIVES: Myocardial wall stretch is the main trigger for pro-brain natriuretic peptide (pro-BNP) secretion. The reduced heart rate associated with bradyarrhythmia increases stroke volume, resulting in increased wall...
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Successful Peritoneal Dialysis in an Extremely Preterm Infant

Huh J, Hwang J, Lee EH, Boo YJ, Choi BM, Hong YS

Peritoneal dialysis can be considered renal supportive therapy, even in an extremely low birth weight infant with acute kidney injury not responding to general supportive measures. Although there have been...
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Changes in urinary potassium excretion in patients with chronic kidney disease

Ueda Y, Ookawara S, Ito K, Miyazawa H, Kaku Y, Hoshino T, Tabei K, Morishita

BACKGROUND: Hyperkalemia is one of the more serious complications of chronic kidney disease (CKD), and the cause of potassium retention is a reduction in urinary potassium excretion. However, few studies...
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Pseudo-renal Failure Caused by Urinary Bladder Rupture in Multiple Trauma Patient

Jang J, Lim KH

Pseudo-renal failure presents with renal failure characteristics, such as hypercreatininemia and hyperkalemia without a change in glomerular filtration rate or structure of the kidney. Pseudo-renal failure due to trauma is...
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Tumor lysis syndrome

Kim H

Tumor lysis syndrome (TLS) is an oncologic emergency due to the rapid lysis of tumor cells and subsequent release of large amounts of intracellular potassium, phosphate, and uric acid into...
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A Fatal Adverse Effect of Barbiturate Coma Therapy: Dyskalemia

Kwon HM, Baek JW, Lee SP, Cho JI

The management guideline for traumatic brain injury (TBI) recommends high-dose barbiturate therapy to control increased intracranial pressure refractory to other therapeutic options. High-dose barbiturate therapy, however, may cause many severe...
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Tumor lysis syndrome following sorafenib treatment in hepatocellular carcinoma

Kim SY, Kim HY, Kim YS, Lee SM, Kim CW

Sorafenib is indicated for the treatment of advanced hepatocellular carcinoma (HCC), but although rare, tumor lysis syndrome (TLS) can be fatal in HCC patients with a large tumor burden. The...
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Transfusion Associated Hyperkalemia and Cardiac Arrest in an Infant after Extracorporeal Membrane Oxygenation

Kim DW, Cheon KR, Cho D, Lee KS, Cho HJ, Jeong IS

Cardiac arrest associated with hyperkalemia during red blood cell transfusion is a rare but fatal complication. Herein, we report a case of transfusion-associated cardiac arrest following the initiation of extracorporeal...
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A Case of Addison's Disease Accompanied by Painless Thyroiditis and Hyperkalemic Periodic Paralysis

Koh MJ, Seo HM, Kim YU, Kim S, Lee SA, Yoo WS, Kim SM

In cases of hyperkalemia with preserved renal function, the differential diagnoses that should be considered are drug-related disorders, primary tubular disease, and hormonal diseases including primary adrenal insufficiency. Addison's disease...
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