Document Detail

Hypophosphataemia causing profound cardiac failure after cardiac surgery.
MedLine Citation:
PMID:  17090245     Owner:  NLM     Status:  MEDLINE    
We report the case of a patient who developed severe cardiac failure after cardiac surgery and required high-dose inotrope infusion. The patient was found to have significant hypophosphataemia and high insulin requirements immediately after surgery. On giving intravenous phosphate, there was a rapid decrease in inotrope requirement and improved glycaemic control. This occurrence raises questions about the cause of hypophosphataemia after cardiac surgery, the possible need for pre-operative plasma phosphate measurement and whether phosphate replacement should be part of the standard management of postoperative hypophosphataemia.
R M Heames; R A Cope
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  61     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-08     Completed Date:  2007-02-22     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  1211-3     Citation Subset:  AIM; IM    
Shackleton Department of Anaesthesia, Southampton Hospitals NHS Trust, Southampton, UK.
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MeSH Terms
Coronary Artery Bypass
Fatal Outcome
Heart Failure / etiology*
Heart Valve Prosthesis Implantation
Hypophosphatemia / complications*,  drug therapy
Phosphates / therapeutic use
Postoperative Complications* / drug therapy
Reg. No./Substance:

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