Hypernatremia-induced Neurologic Complications After Hepatic Hydatid Cyst Surgery: Pretreat to Prevent.

Autor:	Kuzmanovska B; University Clinic for Anaesthesiology, Reanimation and Intensive Care Medicine, Medical Faculty, Ss Cyril and Methodius University, Skopje, N Macedonia., Kartalov A; University Clinic for Anaesthesiology, Reanimation and Intensive Care Medicine, Medical Faculty, Ss Cyril and Methodius University, Skopje, N Macedonia., Kuzmanovski I; University Clinic of Neurology, Medical Faculty, Ss Cyril and Methodius University, Skopje, N Macedonia., Shosholcheva M; University Surgical Clinic St Naum Ohridski,Medical Faculty, Ss Cyril and Methodius University, 1000 Skopje, N Macedonia., Jankulovski N; University Clinic for Digestive Surgery, Medical Faculty, Ss Cyril and Methodius University, 1000, Skopje, N Macedonia., Gavrilovska-Brzanov A; University Clinic for Anaesthesiology, Reanimation and Intensive Care Medicine, Medical Faculty, Ss Cyril and Methodius University, Skopje, N Macedonia., Dimitrovski A; University Clinic for Anaesthesiology, Reanimation and Intensive Care Medicine, Medical Faculty, Ss Cyril and Methodius University, Skopje, N Macedonia., Cvetkovska E; University Clinic of Neurology, Medical Faculty, Ss Cyril and Methodius University, Skopje, N Macedonia.
Jazyk:	angličtina
Zdroj:	Medical archives (Sarajevo, Bosnia and Herzegovina) [Med Arch] 2019 Oct; Vol. 73 (5), pp. 356-358.
DOI:	10.5455/medarh.2019.73.356-358
Abstrakt:	Introduction: Surgery is effective treatment for echinococcosis; however, there is a risk of hypertonic saline resorption and acute hypernatremia. Aim: We report two cases of severe hypernatremia following hydatid cyst removal. Case Reports: A 17-year-old girl underwent surgical removal of hepatic hydatid cyst. Following the surgery, she developed seizures evolving to status epilepticus, and was sedated and mechanically ventilated. Blood chemistry showed hypernatremia. Fluid resuscitation with 5% dextrose infusions was started in combination with furosemide. Electrolytes were monitored frequently until plasma sodium levels normalized, 30 hours later. The patient was seizure free 48 hours later. The second patient is a 70-year-old man with hepatic hydatid cyst. After the surgery he became somnolent and confused due to severe hypernatremia. Intravenous administration of five percentage dextrose was initiated and high doses of furosemide. Sodium level normalized within 38 hours. The patient's mental status improved. Conclusion: A hospital protocol was established aiming to prevent hypernatremia and neurological complications. Competing Interests: There are no conflicts of interest. (© 2019 Biljana Kuzmanovska, Andrijan Kartalov, Igor Kuzmanovski, Mirjana Shosholcheva, Nikola Jankulovski, Aleksandra Gavrilovska-Brzanov, Aleksandar Dimitrovski, Emilija Cvetkovska.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu