Preventive strategies:
Interventions like aggressive fluid loading and forced diuresis titrated
to a urine output of 200-300 ml/hour might help to mitigate the severity
of renal failure in patients at risk of RML4. Being a
retrospective analysis, we were not in a position to assess the impact
of these interventions on the renal outcome. However, in light of
findings from our prior publication1, we are focusing
on the above line of management in patients at risk of RML, especially
when there is unexplained hyperkalemia in the immediate post-operative
period.