Hypernatremia in children: summary and quick guide to its implications in anesthesia.

Authors

  • Rubén Ferreras Vega Medical specialist. Pediatric anesthesia, resuscitation and pain therapy, 12 de Octubre hospital, Madrid.
  • María Dolores Méndez Marín Medical specialist. Pediatric anesthesia, resuscitation and pain therapy, 12 de Octubre hospital, Madrid.
  • Paloma Rubio Pascual Head of Pediatric Anesthesia, Resuscitation and Pain Therapy Service, 12 de Octubre Hospital, Madrid.

DOI:

https://doi.org/10.30445/rear.v12i12.878

Keywords:

hypernatremia, hipernatremia, insipidus diabetes, diabetes insípida, agua corporal total, tratamiento hipernatremia, hypernatremia treathment, dysnatremia, disnatremias, sodium disorders, trastornos del sodio, children hypernatremia, pediatric anesthesia hypernatremia, hipernatremia en anestesia

Abstract

Introduction

Guidelines of hypernatremia management have been plublished. However, this review has been made with the aim of summarize the hypernatremia pathophysiology in children, focused on its anesthetic implications.

Methods:

The review is composed by information extracted from 1 clinical guideline and 12 papers.

Description:

Mathematical formulas are widely used in hypernatremia management. Algorithms help us to achieve a correct diagnosis. Hypernatremia may be common in the cranial surgery postoperative period. 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 hypernatremia.

References

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- Moritz ML, Ayus JC The changing pattern of hypernatremia in hospitalized children. Pediatrics. 1999;104(3 Pt 1):435-9. PMID: 10469766 DOI: 10.1542/peds.104.3.435

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Lecturas recomendadas:
https://www.nefrologiaaldia.org/es-articulo-trastornos-del-agua-disnatremias-197
Guías clínicas
https://www.revistanefrologia.com/es-guia-practica-clinica-sobre-el-articulo-S0211699517300942
http://www.imss.gob.mx/sites/all/statics/guiasclinicas/648GER.pdf
Calculadoras de interés:
http://www.samiuc.es/reposicion-sodica-las-hiponatremias/

Published

2021-01-11

How to Cite

Ferreras Vega, R., Méndez Marín, M. D., & Rubio Pascual, P. (2021). Hypernatremia in children: summary and quick guide to its implications in anesthesia. Revista Electrónica AnestesiaR, 12(12). https://doi.org/10.30445/rear.v12i12.878

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