Key result
Blood-primed continuous venovenous hemofiltration links to hyperkalemic-hypocalcemic cardiac arrest in a 3-week-old infant.
Case Report (n=1)
No
Initiation of blood-primed continuous venovenous hemofiltration in neonates can be associated with life-threatening hyperkalemic-hypocalcemic cardiac arrest.
May signal arrest risk with blood-primed CVVH in neonates; hypothesis-generating for safer priming protocols.
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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Parshuram et al. (2002) conducted a case report in Hyperkalemic-hypocalcemic cardiac arrest (n=1). Blood-primed continuous venovenous hemofiltration was evaluated on Hyperkalemic-hypocalcemic cardiac arrest. Initiation of blood-primed continuous venovenous hemofiltration in a 3-week-old infant was associated with hyperkalemic-hypocalcemic cardiac arrest.
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