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Cardiac Failure Associated with Hypocalcemia

*Assistant Professor, Department of Anesthesia, The Milton S. Hershey Medical Center of the Pennsylvania State University, Hershey, Pennsylvania 17033.

Abstract

Rapid transfusion of citrated whole blood was associated with acute hypotension and a rising central venous pressure in a patient undergoing pelvic exenteration and hemipelvectomy. Evidence of cardiac failure was accompanied by a precipitous decrease in serum ionized calcium (Ca⁺⁺) concentration. When the rate of blood transfusion was slowed, arterial blood pressure returned to the control level and serum Ca⁺⁺ increased.

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