Mrb. Pearson et Ml. Sander, HYPERKALEMIA ASSOCIATED WITH PROLONGED INSUFFLATION OF CARBON-DIOXIDEINTO THE PERITONEAL-CAVITY, British Journal of Anaesthesia, 72(5), 1994, pp. 602-604
We measured plasma potassium concentrations in five anaesthetized pigs
over a 3.5 h period during which a carbon dioxide pneumoperitoneum wa
s maintained During this period the abdominal pressure was kept at 1.9
6 kPa and normocapnia was maintained by intermittent positive pressure
ventilation. The potassium concentration was found to increase with t
ime to a mean of 5.63 (SD 0.44) mmol litre(-1). Consideration should b
e given to monitoring plasma potassium concentration in patients under
going prolonged laparoscopic surgery.