고칼륨혈증의 교정을 위해 인슐린과 50% 포도당 증류수를 투여한 만성 신부전환자에서 척추마취 후 발생한 급성 중증 저혈당

Acute Severe Hypoglycemia after Spinal Block in Chronic Kidney Disease Patient treated Insulin with 50% Dextrose for Hyperkalemia

This is the case report of a 58-year-old man who developed acute severe hypoglycemia after a spinal block. He had a history of injecting insulin combined with 50% dextrose for hyperkalemia control. After the spinal block, he presented with hypoglycemic symptoms and went into convulsions. Following injection of midazolam and 10 ml of 50% dextrose, his mental state returned to alert. We recommend careful monitoring of blood sugar level of chronic kidney disease patients who undergo neuraxial block.