Practical document on the management of hyponatremia in critically ill patients.
Por:
Broch Porcar, M, Rodriguez Cubillo, B, Dominguez-Roldan, J, Alvarez Rocha, L, Ballesteros Sanz MÁ, Cervera Montes, M, Chico Fernandez, M, de Gea Garcia, J, Enriquez Giraudo, P, Garcia de Lorenzo Y Mateos, A, Gomez Lopez, R, Guerrero Pavon, R, Lopez Sanchez, F, Llompart-Pou, J, Lubillo Montenegro, S, Molina Collado, Z, Ramirez Galleymore, P, Riveiro Vilaboa, M, Sanchez Corral, A and Herrera-Gutierrez, M
Publicada:
1 jun 2019
Ahead of Print:
21 ene 2019
Resumen:
Hyponatremia is the most prevalent electrolyte disorder in Intensive Care Units. It is associated with an increase in morbidity, mortality and hospital stay. The majority of the published studies are observational, retrospective and do not include critical patients; hence it is difficult to draw definitive conclusions. Moreover, the lack of clinical evidence has led to important dissimilarities in the recommendations coming from different scientific societies. Finally, etiopathogenic mechanisms leading to hyponatremia in the critical care patient are complex and often combined, and an intensive analysis is clearly needed. A study was therefore made to review all clinical aspects about hyponatremia management in the critical care setting. The aim was to develop a Spanish nationwide algorithm to standardize hyponatremia diagnosis and treatment in the critical care patient.
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