Hyponatremia in children: summary and quick guide to its implications in anesthesia.
DOI:
https://doi.org/10.30445/rear.v12i12.877Keywords:
hiponatremia, hyponatremia, adh, siadh, cerebral salt wasting syndrome, cerebral salt wasting, síndrome pierde sal cerebral, spsc, sodium dysorders, sodium, sodio, trastornos del sodio, dysnatermia, disnatremias, anestesia pediátrica, trastornos del sodio en niños, children sodium disordersAbstract
Introduction
Due to hyponatremia frequency a wide range of guidelines for the management of sodium disorders have been plublished. Nevertheless, this review has been made with the aim of summarize the hyponatremia pathophysiology in children, focused on its anesthetic implications.
Methods:
The review is composed by information extracted from 2 clinical guidelines, 12 papers.
Description:
Mathematical calculations are commonly used in sodium disorders management. SIADH and Cerebral salt wasting can cause hyponatremia in children. Algorithms help us to differentiate the main pathologies to achieve a correct diagnosis. The sodium correction should not be done aggressively in order to avoid complications.
Conclusions:
New technologies such as phone apps and specific recomendations for infants in periopetaive period could help to manage dysnatremia.
References
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Lecturas recomendadas
https://www.nefrologiaaldia.org/es-articulo-trastornos-del-agua-disnatremias-197
Guías clínicas
http://secip.com/wp-content/uploads/2018/06/Protocolo-SIADH-Diabetes-Insipida-SDR-Pierde-Sal.pdf
Calculadoras de interés
http://www.samiuc.es/reposicion-sodica-las-hiponatremias/
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