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.