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Transfusion-Related Hyperkalemia Causing Ventricular Arrhythmia in Neonatal Hepatectomy: A Critical Case Report

Xuewei Liu¹, Yuyi Zhao^1*
1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, People’s Republic of China

Corresponding Author: Yuyi Zhao
Address: Department of Anesthesiology, West China Hospital, Sichuan University & The Research Units of West China (2018RU012), Chinese Academy of Medical Sciences, 37 Guoxuexiang, Chengdu, Sichuan 610041, China.
Received date: 16 August 2023; Accepted date: 25 August 2023; Published date: 29 August 2023

Citation: Liu X, Zhao Y. Transfusion-Related Hyperkalemia Causing Ventricular Arrhythmia in Neonatal Hepatectomy: A Critical Case Report. Asp Biomed Clin Case Rep. 2023 Aug 29;6(3):229-32.

Copyright © 2023 Liu X, Zhao Y. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Transfusion, Hyperkalemia, Ventricular Arrhythmia

Summary

Transfusion-related hyperkalemia leading to ventricular arrhythmia is rare in neonates. We report a case of a 9-day-old neonate who developed severe hyperkalemia and ventricular arrhythmia after receiving a packed red blood cell transfusion during hepatectomy. After successful resuscitation, further transfusion was required. Subsequently, hyperkalemia was prevented by infusing packed red blood cells with saline in a ratio of 2:1, based on careful calculation.