Journals / Ulusal Travma Dergisi / 2003 / Cilt: 9 - Sayı: 4

Iatrogenic hypernatremia during hydatid cyst operation

Karaciğer hidatik kist operasyonunda iyatrojenik hipernatremi

Pages
291–293
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The serum sodium concentration should be monitored carefully in hydatid cyst operation, during which hypertonic saline is used for scelosidal effects as general anesthesia can mask neurologic signs due to hypernatremia.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Hypernatremia due to salt gain is generally iatrogenic.
📊
Key Findings & Data:This case report presents a 55 year-old woman who was operated because of hepatic hydatid cyst.
💡
Conclusion & Impact:The serum sodium concentration should be monitored carefully in hydatid cyst operation, during which hypertonic saline is used for scelosidal effects as general anesthesia can mask neurologic signs due to hypernatremia.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Tanı · ayırıcı · Ekinokokkoz

Abstract

Hypernatremia due to salt gain is generally iatrogenic. This case report presents a 55 year-old woman who was operated because of hepatic hydatid cyst. At the end of the operation, following extubation the patient was unconscious and serum sodium concentration was found to be 185 mEq/ L. The patient was entubated again and transferred to the intensive care unit. When the patient awaked and became conscious at 36th hour in intensive care unit, she was extubated and transferred to ward with serum sodium concentration of 142 mEq/L. The serum sodium concentration should be monitored carefully in hydatid cyst operation, during which hypertonic saline is used for scelosidal effects as general anesthesia can mask neurologic signs due to hypernatremia.

🔖

Cite This Article

ÖZCAN, E. P., YAVRU, A., TUĞRUL, T. S., AKINCI, Ö., ERKAN, M., ÇAKAR, N. (2003). Iatrogenic hypernatremia during hydatid cyst operation. Ulusal Travma Dergisi, Cilt: 9 - Sayı: 4, 291–293. https://ajindex.com/articles/324957

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (8)

  1. Pau M. Palevsky. Water and tonicity Homeostasis. In:. Carlson RW, Geheb MA eds. Principles and practise of medical intensive care. 2th ed. Pennsylvania: W.B Saunders company; 1993: 1168-1209
  2. Robert M. Black. Disorders of plasma sodium and plasma potasium. Irwin RS, Cerra FB, Rippe JM, eds. Intensive Care Medicine. 4th ed. Philadelphia: 1999; 941-969 3. Feig PU, McCurdy DK. The hypertonic state. N Engl J Med. 1977; 297: 1444 –1454
  3. Pissiotis CA, Wander JV, Condon RE. Surgical treatment of hydatid disease. Arch Surg. 1972; 104: 454-459
  4. Weirich WL. Hydatid disease of the liver. Am J Surg. 1979; 138: 805 –808
  5. Heslop JH. An assessment of the efficacy of hydatid scolicidal agents used locally in surgery. Aust NZ J Surg. 1967; 37: 205 –208
  6. Gage TP, Vivian G. Hypernatremia after hypertonic saline irrigation of an hepatic hydatid cyst. Ann Intern Med. 1984; 101: 405-408
  7. Pollack A, Arieff A: Abnormalities of cell volume regu- lation and their functional consequences. Am J Physiol. 1980; 239: 195-197
  8. Dobato JL, Barriga FJ, Pareja JA, et al.: Extrapontine myelinolyses caused by iatrogenic hypernatremia fol- lowing rupture of a hydatid cyst of the liver with an amnesic syndrome as sequela. Rev Neurol. 2000; 31: 1033–1035.