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Neonatal hyperkalemic-hypocalcemic cardiac arrest associated with initiation of blood-primed continuous venovenous

Christopher S Parshuram1, Peter N Cox

  • 1Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|June 10, 2003
PubMed

We report hyperkalemic-hypocalcemic cardiac arrest at the initiation of blood-primed continuous venovenous hemofiltration in a 3-wk-old infant. Although hyperkalemia with massive transfusion has been reported and hemodynamic instability is not infrequent at the initiation of continuous venovenous hemofiltration in critically ill children, cardiac arrest in these circumstances is extremely rare at our institution and has not been reported in the literature. We report the case and discuss management strategies for blood-primed extracorporeal circuits.

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