• toxin build up in ischemic limb → Inappropriate re-vascularization could lead to worsening outcome
  • Can cause !Compartment Syndromes → Fasiotomy
  • Anesthesia management of reperfusion syndrome:
    • Sodium Bicarb → Metabolic Acidosis
    • Calcium Gluconate → !Hyperkalemia - ↑K (> 5)