Post-operative hyponatraemia in orthopaedic injury
Post-operative hyponatraemia can be dangerous and can go unrecognised as the presenting signs and symptoms are often confused with post-operative or post-anaesthesia sequelae. Infusion of dextrose containing fluids in the peri-operative period is a well-documented cause of this electrolyte imbalance...
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Veröffentlicht in: | Injury 2003-05, Vol.34 (4), p.253-255 |
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Sprache: | eng |
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Zusammenfassung: | Post-operative hyponatraemia can be dangerous and can go unrecognised as the presenting signs and symptoms are often confused with post-operative or post-anaesthesia sequelae. Infusion of dextrose containing fluids in the peri-operative period is a well-documented cause of this electrolyte imbalance.
We conducted a retrospective study to identify the incidence of hyponatraemia following surgery for orthopaedic injury. Medical notes and fluid charts of the patients were scrutinised. We detected 32 cases of post-operative hyponatraemia over a period of 1 year. Eleven hundred and thirty-one patients underwent orthopaedic surgery during this period. Calculated incidence of hyponatraemia was 2.8%.
In the hyponatraemic group, the mean pre-operative sodium was 134
mmol/l and mean post-operative sodium was 126
mmol/l. There was a statistically significant difference between mean pre-operative and mean post-operative serum sodium concentration (
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ISSN: | 0020-1383 1879-0267 |
DOI: | 10.1016/S0020-1383(02)00256-5 |