Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Metabolic stridor: a case report.

A K Ajithkumar1, J A Botha

  • 1Intensive Care Unit, Frankston Hospital, Frankston, Victoria.

Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine
|March 25, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Addressing negative psychosocial factors linked to severe injury in professional rugby players: An introduction to a group psychotherapy approach.

South African journal of sports medicine·2023
Same author

Validating accelerometry-derived proxies of energy expenditure using the doubly labelled water method in the smallest penguin species.

Biology open·2021
Same author

Dive behaviour and foraging effort of female Cape fur seals <i>Arctocephalus pusillus pusillus</i>.

Royal Society open science·2019
Same author

Cognitive function, quality of life and mental health in survivors of our-of-hospital cardiac arrest: a review.

Anaesthesia and intensive care·2015
Same author

Management of severe hypercapnia post cardiac arrest with extracorporeal carbon dioxide removal.

Anaesthesia and intensive care·2014
Same author

Carbon dioxide clearance in critical care.

Anaesthesia and intensive care·2013
Same journal

A pragmatic risk-stratified framework for using large language models in intensive care medicine: A narrative review.

Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine·2026
Same journal

The cost analysis of remifentanil and fentanyl for analgosedation in mechanically ventilated patients in intensive care: Post hoc analysis of an open-labelled pilot randomised controlled study.

Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine·2026
Same journal

Analgesia and sedation practice in children in intensive care in Australia and New Zealand: A survey.

Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine·2026
Same journal

Evaluation of the clinical impact of different telemedicine practices in intensive care units: A stepped-wedge cluster randomized clinical trial (TELESCOPE 2): Study protocol.

Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine·2026
Same journal

Vasopressors or fluids for initial resuscitation in septic shock: A matter of clinical judgement.

Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine·2026
Same journal

Sodium bicarbonate in critical illness: Correcting acidaemia without changing outcomes?

Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine·2026
See all related articles

Severe hypokalaemia can cause serious complications. This case highlights a patient with diarrhea, metabolic acidosis, and hypophosphatemia who developed respiratory failure after hypokalemia correction, requiring mechanical ventilation.

Area of Science:

  • Nephrology
  • Critical Care Medicine
  • Internal Medicine

Background:

  • Severe hypokalemia presents with diverse clinical manifestations, including cardiac arrhythmias and neuromuscular dysfunction.
  • Electrolyte imbalances, such as hypokalemia, normal anion gap metabolic acidosis, and hypophosphatemia, can co-exist and complicate patient management.
  • Respiratory failure is a rare but critical complication of severe hypokalemia.

Purpose of the Study:

  • To describe a unique case of severe hypokalemia presenting with diarrhea, metabolic acidosis, and hypophosphatemia.
  • To illustrate the potential for respiratory complications, including stridor and ventilatory failure, following early correction of hypokalemia.
  • To highlight the successful management of a complex electrolyte and respiratory crisis.

Main Methods:

Related Experiment Videos

  • Case report of a patient with severe hypokalemia, normal anion gap metabolic acidosis, and hypophosphatemia.
  • Clinical observation of patient's presentation, electrolyte derangements, and respiratory status.
  • Intervention including endotracheal intubation, mechanical ventilation, and fluid/electrolyte correction.

Main Results:

  • The patient presented with severe diarrhea, hypokalemia, normal anion gap metabolic acidosis, and hypophosphatemia.
  • Early correction of hypokalemia led to the development of stridor and respiratory failure.
  • Successful management was achieved through mechanical ventilation and comprehensive correction of fluid and electrolyte abnormalities.

Conclusions:

  • Severe hypokalemia can manifest with gastrointestinal and metabolic disturbances, alongside neuromuscular compromise.
  • Rapid correction of hypokalemia in the context of other electrolyte abnormalities may precipitate acute respiratory failure.
  • Multifaceted management, including mechanical ventilation and meticulous electrolyte repletion, is crucial for resolving such complex critical care scenarios.