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Anesth Analg 2003;97:355-357
© 2003 International Anesthesia Research Society

PEDIATRIC ANESTHESIA

Hyperkalemia and Pyloric Stenosis

Donald Schwartz, MD*, Neil Roy Connelly, MD*, P. Manikantan, MD*, and J. H. Nichols, PhD{dagger}

Departments of *Anesthesiology and {dagger}Pathology, Baystate Medical Center, Springfield, Massachusetts

Address correspondence and reprint requests to Neil Roy Connelly, MD, Baystate Medical Center, 759 Chestnut St., Springfield, MA 01199. Address e-mail to neil.roy.connelly{at}bhs.org

Children presenting with pyloric stenosis have hypochloremic metabolic alkalosis and their serum potassium levels are thought to be low or normal. We reviewed potassium levels in infants with pyloric stenosis. Thirty-six percent of patients with pyloric stenosis had increased serum potassium levels. We conclude that hyperkalemia may be more common in children with pyloric stenosis than previously thought.

IMPLICATIONS: A significant number of infants with pyloric stenosis have a serum potassium value above the normal limit.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.