Severe intraoperative hyponatremia associated with the absorption of irrigation fluid during hysteroscopic myomectomy: a case report

Woo, Young Cheol; Kang, Hyun; Cha, Su Man; Jung, Yong Hun; Kim, Jin Yun; Koo, Gill Hoi; Park, Sun Gyoo; Baek, Chong Wha

doi:10.1016/j.jclinane.2011.03.003

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Severe intraoperative hyponatremia associated with the absorption of irrigation fluid during hysteroscopic myomectomy: a case report

Woo, Young Cheol;
Kang, Hyun;
Cha, Su Man;
Jung, Yong Hun;
Kim, Jin Yun;
... Baek, Chong Wha;
외 2명

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초록

A case of severe hyponatremia with accompanying pulmonary edema and cardiovascular instability during a hysteroscopic myomectomy with general anesthesia is presented. The patient's sodium value decreased to 87 mmol/L. She was managed with aggressive maneuvers, including an infusion of 3% hypertonic saline. The patient's serum sodium increased to 113 mmol/L at the end of the operation, and it was increased up to 138 mmol/L at 48 hours. The patient recovered completely without neurologic sequelae. (C) 2011 Elsevier Inc. All rights reserved.

키워드

Continuous renal replacement therapy; Hypertonic saline; Hyponatremia; Hysteroscopy; Irrigation fluid; NONCARDIOGENIC PULMONARY-EDEMA; TRANSURETHRAL RESECTION; BRAIN-DAMAGE; MANAGEMENT; ENCEPHALOPATHY; COMPLICATIONS

제목: Severe intraoperative hyponatremia associated with the absorption of irrigation fluid during hysteroscopic myomectomy: a case report

저자: Woo, Young Cheol; Kang, Hyun; Cha, Su Man; Jung, Yong Hun; Kim, Jin Yun; Koo, Gill Hoi; Park, Sun Gyoo; Baek, Chong Wha

DOI: 10.1016/j.jclinane.2011.03.003

발행일: 2011-12

유형: Article

저널명: Journal of Clinical Anesthesia

권: 23

호: 8

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