Severe hypernatremia after hypertonic saline irrigation of hydatid cysts.

Albi, Aline; Baudin, François; Matmar, Moussa; Archambeau, Denis; Ozier, Yves · Anesth Analg · 2002

case_report · Level V

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Abstract

Patients with iatrogenic hypernatremia and serum sodium levels >170 mmol/L either die or sustain severe central nervous system damage. We report the first case of an adult patient who survived an extreme iatrogenic acute hypernatremia (200 mmol/L) resulting from a hypertonic saline irrigation of multiple intraabdominal hydatid cysts. It is a unique report of an intraoperatively developed serum sodium increase without subsequent neurological damage.

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