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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Crit Care Med. Nov 4, 2014; 3(4): 95-101
Published online Nov 4, 2014. doi: 10.5492/wjccm.v3.i4.95
Published online Nov 4, 2014. doi: 10.5492/wjccm.v3.i4.95
Impact of perioperative hyponatremia in children: A narrative review
Cheme Andersen, Arash Afshari, Department of Anaesthesiology, Juliane Marie Centre, Rigshospitalet, 2100 Copenhagen, Denmark
Author contributions: Andersen C and Afshari A contributed to this paper.
Correspondence to: Cheme Andersen, MD, Department of Anaesthesiology, Juliane Marie Centre, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark. chemeandersen@gmail.com
Telephone: +45-20680481
Received: July 19, 2014
Revised: September 13, 2014
Accepted: October 23, 2014
Published online: November 4, 2014
Processing time: 114 Days and 15.6 Hours
Revised: September 13, 2014
Accepted: October 23, 2014
Published online: November 4, 2014
Processing time: 114 Days and 15.6 Hours
Core Tip
Core tip: Hospital-acquired hyponatremia is common, particularly among children undergoing surgery. These children tend to develop hyponatremic encephalopathy at higher serum sodium concentrations than adults and they have a poorer prognosis. As the risk is increased by the use of hypotonic fluids, intraoperative fluids for children should be isotonic. Symptomatic hyponatremia should be corrected with 3% sodium chloride and close monitoring of the patient and serum sodium level is mandatory to prevent brain herniation and neurologic damage from cerebral ischemia.