KARAC��ER K�ST H�DAT�K OPERASYONUNDA �YATROJEN�K H�PERNATREM�

Ozcan, Perihan Ergin; Yavru, Aysen; Tugrul, Simru; Ak�nc�, Ozkan; Erkan, Mert; Cakar, Nahit

Cilt : 30 Say� : 12 Y�l : 2024

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KARAC��ER K�ST H�DAT�K OPERASYONUNDA �YATROJEN�K H�PERNATREM� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2003; 9(4): 291-293

KARAC��ER K�ST H�DAT�K OPERASYONUNDA �YATROJEN�K H�PERNATREM�

Perihan Ergin Ozcan¹, Aysen Yavru¹, Simru Tugrul¹, Ozkan Ak�nc�¹, Mert Erkan², Nahit Cakar¹
¹Istanbul Medical School, Department Of Anesthesiology, Istanbul, Turkey
²Istanbul Medical School, Department Of Surgery, Istanbul, Turkey

IATROGENIC HYPERNATREMIA DURING HYDATID CYST OPERATION

Perihan Ergin Ozcan¹, Aysen Yavru¹, Simru Tugrul¹, Ozkan Ak�nc�¹, Mert Erkan², Nahit Cakar¹
¹Istanbul Medical School, Department of Anesthesiology, Istanbul, Turkey
²Istanbul Medical School, Department of Surgery, Istanbul, Turkey

Hypernatremia due to salt gain is generally iatrogenic. This case report presents a 55 year-old woman who was operated because of hepatic hydatid cyst. At the end of the operation, following extubation the patient was unconscious and serum sodium concentration was found to be 185 mEq/ L. The patient was entubated again and transferred to the intensive care unit. When the patient awaked and became conscious at 36th hour in intensive care unit, she was extubated and transferred to ward with serum sodium concentration of 142 mEq/L. The serum sodium concentration should be monitored carefully in hydatid cyst operation, during which hypertonic saline is used for scelosidal effects as general anesthesia can mask neurologic signs due to hypernatremia.

Keywords: Hypernatremia, hydatid cyst, intensive care

Makale Dili: T�rk�e

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