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- Blake S Watterworth and Robert J Noorani.
- From the Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland.
- A A Pract. 2018 Jul 15; 11 (2): 54-56.
AbstractCorrection of profound hyponatremia requires careful planning and close monitoring to reduce the risks of neurologic injury. Although there are various suggested treatment strategies in the setting of a medical ward or intensive care unit, reports of intraoperative management to prevent rapid increases in serum sodium are lacking. We present a case of profound hyponatremia of 102 mmol/L in a patient who required emergent operative repair for bowel obstruction. This is the first case to our knowledge that demonstrates a perioperative fluid and desmopressin treatment strategy to prevent overly rapid changes of sodium concentration in a patient with severe hyponatremia.
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