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Anesth Analg 2002;95:1806-1808
© 2002 International Anesthesia Research Society

GENERAL ARTICLES

Severe Hypernatremia After Hypertonic Saline Irrigation of Hydatid Cysts

Aline Albi, MD, François Baudin, MD, Moussa Matmar, MD, Denis Archambeau, MD, and Yves Ozier, MD

Department of Anesthesiology and Intensive Care Unit, Groupe Hospitalier Cochin, Université René Descartes, Paris, France

Address correspondence and reprint requests to Yves Ozier, Département d’Anesthésie-Réanimation Chirurgicale, Hôpital Cochin, 123 Blvd. de Port Royal, F-75679 Paris Cedex 14, France. Address e-mail to yves.ozier{at}cch.ap-hop-paris.fr

IMPLICATIONS: 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.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.