Life‐threatening pulmonary hypertension and right ventricular failure complicating calcium and phosphate replacement in the intensive care unit

@article{Felton2006LifethreateningPH,
  title={Life‐threatening pulmonary hypertension and right ventricular failure complicating calcium and phosphate replacement in the intensive care unit},
  author={Timothy Felton and B. A. McCormick and Simon R. Finfer and Malcolm Fisher},
  journal={Anaesthesia},
  year={2006},
  volume={61}
}
A 43‐year‐old man developed septic shock and acute lung injury after surgery to drain an ischiorectal abscess. In the intensive care unit he initially improved but developed severe hypoxaemia, right ventricular failure and pulmonary hypertension 90 min after receiving intravenous calcium gluconate and potassium phosphate, best explained by the formation of a calcium‐phosphate precipitant that resulted in aggregate anaphylaxis. His rapid deterioration and lack of response to conventional… 
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