Management of water intoxication/hyponatraemia/glycine intoxication
| Case | Anaesthetic | Case | Management | Lowest Na (mmol/l) |
|---|---|---|---|---|
| GA, general anaesthesia; SP, spinal anaesthesia; TCEA, endometrial ablation; TURP, transurethral resection of prostate; BNI, bladder neck incision; CVP, central venous pressure; CPR, cardiopulmonary resuscitation; GTN, glyceryl trinitrate; IPPV, intermittent positive pressure ventilation. | ||||
| 1 | GA | TCEA | CVP line, frusemide | 99 |
| 2 | SP | TURP | Frusemide; normal saline | 121 |
| 3 | SP | TURP | Frusemide; normal saline | 115 |
| 4 | SP | TURP | CPR; adrenaline; atropine | 112 |
| 5 | SP | TURP | Hypertonic saline; hydrocortisone | 117 |
| 6 | SP | BNI | Frusemide; GTN patch | 98 |
| 7 | SP | TURP | Frusemide; hypertonic saline; CVP line | 115 |
| 8 | SP | TURP | IPPV (convulsion) | 130 |
| 9 | SP | TURP | IPPV (pulmonary oedema); frusemide | “low” |
| 10 | GA | TCEA | Frusemide | 123 |