Preventive strategy for hyperkalemia during resection of a large sacrococcygeal teratoma in a neonate

RMJ. 2015; 40(3): 348-350

Jae-Wook Jung, Yong Han Kim, Ki Hwa Lee, Eun Su Kang, Hey Ran Choi, Kyung Woo Kim, Si Ra Bang.

Abstract
A neonate weighed 3.3kg with a huge Sacrococcygeal teratoma extending up to the level of S3, anterior displacement of the anus and rectum underwent operation. He had hyperkalemia caused by massive transfusion and tumor lysis. Regular insulin 0.3 unit and 4ml of normal saline mixture were infused by microinfusion pump at a rate of 3cc/hr with continuous 10% dextrose solution during resection of tumor. During the operation, appropriate potassium concentration was maintained and surgery was completed uneventfully. Keywords: Hyperkalemia, neonate, sacrococcygeal teratoma. Key words: Hyperkalemia, neonate, sacrococcygeal teratoma