pRBC transfusion and hyperkalemia
Hyperkalemia from blood transfusion is an under-recognised entity in ICUs but over time there is more realization about it. One recent study underscores the same peril from transfusion 1.
A total of 131 patients were studied during the initial 12 hours after admission for noncrush trauma. 2 independent risk factors for hyperkalemia were
- an ER plasma potassium level of 4.0 mmol/L or higher, and
- transfusion of cell- or plasma-based products
Related previous pearl:
Transfusion-associated hyperkalemia in renal failure patients
Reference: click to get abstract
1. Resuscitative Hyperkalemia in Noncrush Trauma: A Prospective, Observational Study - Clin J Am Soc Nephrol.2007; 2: 313-319
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