TY - JOUR T1 - Barbiturate-induced dyskalaemia in patients with traumatic brain injury patient JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-228119 VL - 12 IS - 4 SP - e228119 AU - Danny Theodore AU - Dea Mahanes Y1 - 2019/04/01 UR - http://casereports.bmj.com/content/12/4/e228119.abstract N2 - A young man with severe traumatic brain injury and refractory intracranial hypertension was treated with a barbiturate coma. A rare side effect of barbiturates is dyskalaemia. The dyskalaemia presented with acute hypokalaemia that quickly became hyperkalaemia. Both electrolyte disturbances can have serious physiological complications. The cellular cause of the dyskalaemia is not well understood. The correct diagnosis and treatment of barbiturate dyskalaemia is essential in providing care. Clinicians treating patients with barbiturates need to be aware of this rare side effect. Our patient was quickly and correctly treated for the dyskalaemia and suffered no complications related to this side effect. ER -