Abstract
Hyperkalemia is a medical condition that anesthesia providers frequently have to deal with. Anesthetics (succinylcholine) and anesthesia practice (hypoventilation) may worsen hyperkalemia. The decision to proceed with a scheduled surgical procedure in a patient with hyperkalemia can be very challenging; it is usually decided by a mutual agreement between surgery team and anesthesia providers. Intraoperative management strategies can include intravenous administration of calcium, sodium bicarbonate, insulin with/without glucose, or other alkalizing agent; inhalation of albuterol; hyperventilation can often be adopted to induce mild respiratory alkalosis to lower metabolic acidosis-induced hyperkalemia.
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