Hyperkalemia, Mannitol Adverse Reaction
Conditions
Brief summary
This is an observational study designed to research the effect of mannitol on the concentration of intraoperative serum potassium in patients undergoing craniotomy, and to guide the safe use of mannitol during craniotomy.
Detailed description
Patients were assigned to receive 20% mannitol (1g/kg) solution administered intravenously 15-20 minutes at the time of drilling skull.The serum potassium was measured by arterial blood gas analysis before infusion (T0), infusion finished (T1), 15min (T2), 30min (T3), 60min (T4) and 120min (T5) after infusion.
Interventions
Mannitol was intravenous infused within 15-20 mins when drilling skull
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18 to 70 * American Society of Anesthesiologists physical status I to II * liver and kidney function is normal * preoperative concentration of serum potassium was from 3.5 to 5.5 mmol/L
Exclusion criteria
* history or presence of congestive heart failure (New York Heart Association class III to IV) * history or presence of renal failure(diabetes insipidus, or syndrome of inappropriate antidiuretic hormone secretion) * intraoperative blood transfusion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the concentration of serum potassium | two hours within infusioning mannitol | measured by arterial blood gas analysis |
Countries
China