Open AccessCardiac Failure Associated with Hypocalcemia
Author(s) -
J. Kenneth Denlinger,
Michael L. Nahrwold
Publication year - 1976
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/00000539-197601000-00007
Subject(s) - medicine , blood pressure , central venous pressure , anesthesia , heart failure , blood transfusion , hemipelvectomy , calcium metabolism , calcium , surgery , heart rate , cardiology , pelvis
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.