To Dialyze Or Not To Dialyze, A Challenging Case Report
A 56 year-old-female with a history of left sided breast cancer status post mastectomy, CAD, CKD stage III and type 2 DM presented to our hospital for prophylactic right breast mastectomy and tissue based reconstruction. On postoperative day 0, she developed low urine output refractory to IV fluid boluses. Electrolyte imbalances included a potassium level of 8.0 mEq/L and ECG revealed peaked T-waves. Treatment included dextrose, insulin and bicarbonate. Despite mild improvement of potassium levels, she required urgent dialysis. Labs revealed ATN and rhabdomyolysis. This case discusses risk factors of postoperative acute renal failure and indications for urgent dialysis.
Daklallah Y, Nowak Z, Asbahi M. To dialyze or not to dialyze, A challenging case report. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.