We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Ventricular tachycardia without preceding electrocardiogram change after hypertonic mannitol administration: a case report.
- Authors
Gohara, Akira; Okamatsu-Kifuji, Sumi; Shono, Shinjiro; Higashi, Midoriko; Yamaura, Ken
- Abstract
Background: Mannitol is widely used during neurosurgery, but it has a serious complication including lethal arrhythmia due to mannitol-induced hyperkalemia.Case presentation: We report on a 62-year-old man scheduled for the clipping of an unruptured cerebral artery aneurysm. During surgery, approximately 20 min after the end of 200-mL 20% hypertonic mannitol administration, ventricular tachycardia (VT) occurred without preceding electrocardiogram (ECG) change, such as peaked T waves, and VT was recovered to sinus rhythm after chest compression. A potassium concentration after recovery from VT was 6.4 mEq/L, which was normalized by the administration of calcium gluconate, furosemide, and insulin with glucose.Conclusions: Physicians must be aware that VT without preceding ECG change can occur after hypertonic mannitol administration.
- Subjects
VENTRICULAR tachycardia; ELECTROCARDIOGRAPHY; MANNITOL; INTRACRANIAL aneurysms; SINUS arrhythmia
- Publication
JA Clinical Reports, 2018, Vol 4, Issue 1, p1
- ISSN
2363-9024
- Publication type
Case Study
- DOI
10.1186/s40981-018-0191-0