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KMID : 1033220200100030117
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Journal of Acute Care Surgery
2020 Volume.10 No. 3 p.117 ~ p.119
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Perioperative Management of a Patient with Hypokalemic Periodic Paralysis: A Case Report
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Bae Sung-Il
Hwang Ye-Ran
Kim Jong-Won
Tak Seong-Yeong
Sohn Ju-Tae
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Abstract
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Potassium imbalances can be life-threatening and must be identified and corrected prior to surgery. Patients with hypokalemic periodic paralysis (hypoKPP) experience recurrent muscle weakness or paralysis due to hypokalemia. We present the management of a rare case of hypoKPP during surgery and discuss the general complications and perioperative management of the condition. A 70-year-old man with hypoKPP visited the emergency room with abdominal pain requiring a cholecystectomy. He had not experienced hypoKPP since 1993, 1 year after diagnosis. Preoperative examinations were normal, with a serum potassium level of 4.5 mEq/L. Surgery and recovery were uneventful, with potassium levels ≥ 3.3 mEq/L. The post-surgery serum potassium level was 4.3 mEq/L. The patient had no signs of hypokalemia until 1-week post-surgery. Thorough preoperative preparation, careful assessment of serum potassium levels, avoidance of triggering factors, and appropriate postoperative pain relief can help prevent a hypokalemic attack in patients with hypoKPP.
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KEYWORD
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hypokalemic periodic paralysis, perioperative care, potassium
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