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HPB Surgery
Volume 2012, Article ID 279708, 4 pages
http://dx.doi.org/10.1155/2012/279708
Clinical Study

About Usefulness of Kalemia Monitoring after Blunt Liver Trauma

Department of Surgical Sciences, IRCCS San Matteo Hospital Foundation, University of Pavia, 27100 Pavia, Italy

Received 13 October 2011; Revised 18 January 2012; Accepted 22 January 2012

Academic Editor: Olivier Farges

Copyright © 2012 Francesco Meriggi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The aim of this study is to investigate the evidence of hypokalemia as a suitable parameter for therapeutic decision making after severe blunt liver trauma. Methods. We reviewed the medical records of 11 patients (9 M, 2 F, mean age 32 years) admitted to San Matteo Hospital of Pavia between 2007–2009. All of them were victims of road accidents hospitalized for blunt liver injury and submitted to surgery. Results. Hypokalemia was observed in 7/11 (63.6%) patients during the preoperative period (mean value 2.91 mEq/L). Serum potassium concentration normalized in all patients at the 7th postoperative day only ( 𝑃 < 0 . 0 1 ). Conclusions. According to literature results, our study confirms that after blunt hepatic injury serum potassium levels may decrease significantly. Therefore, kalemia must be carefully monitored in order to establish appropriate treatment and avoid any complications.