From hypotonic maintenance fluid to severe hyponatremia: a case report

BACKGROUND: The principles for maintenance intravenous fluid prescription in children were developed in the 1950s. These guidelines based on the use of hypotonic solutions have been challenged regularly for they seem to be associated with an increased risk of hospital-acquired hyponatremia. CASE PRE...

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Autores principales: Denis, M., Di Giacomo, A., Lacotte, E., Porcheret, F., Letouzé, N., Lauzier, B., Goyer, I., Brossier, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183082/
https://www.ncbi.nlm.nih.gov/pubmed/34099019
http://dx.doi.org/10.1186/s13256-021-02889-0
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author Denis, M.
Di Giacomo, A.
Lacotte, E.
Porcheret, F.
Letouzé, N.
Lauzier, B.
Goyer, I.
Brossier, D.
author_facet Denis, M.
Di Giacomo, A.
Lacotte, E.
Porcheret, F.
Letouzé, N.
Lauzier, B.
Goyer, I.
Brossier, D.
author_sort Denis, M.
collection PubMed
description BACKGROUND: The principles for maintenance intravenous fluid prescription in children were developed in the 1950s. These guidelines based on the use of hypotonic solutions have been challenged regularly for they seem to be associated with an increased risk of hospital-acquired hyponatremia. CASE PRESENTATION: We report the case of a 4-week-old Caucasian child admitted for acute bronchiolitis who received hypotonic maintenance fluids and developed severe hyponatremia (94 mmol/L) with hyponatremic encephalopathy. CONCLUSION: This clinical situation can serve as a reminder of the latest recommendations from the American Academy of Pediatrics regarding the use of intravenous fluids that promote the use of isotonic fluids in children.
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spelling pubmed-81830822021-06-09 From hypotonic maintenance fluid to severe hyponatremia: a case report Denis, M. Di Giacomo, A. Lacotte, E. Porcheret, F. Letouzé, N. Lauzier, B. Goyer, I. Brossier, D. J Med Case Rep Case Report BACKGROUND: The principles for maintenance intravenous fluid prescription in children were developed in the 1950s. These guidelines based on the use of hypotonic solutions have been challenged regularly for they seem to be associated with an increased risk of hospital-acquired hyponatremia. CASE PRESENTATION: We report the case of a 4-week-old Caucasian child admitted for acute bronchiolitis who received hypotonic maintenance fluids and developed severe hyponatremia (94 mmol/L) with hyponatremic encephalopathy. CONCLUSION: This clinical situation can serve as a reminder of the latest recommendations from the American Academy of Pediatrics regarding the use of intravenous fluids that promote the use of isotonic fluids in children. BioMed Central 2021-06-07 /pmc/articles/PMC8183082/ /pubmed/34099019 http://dx.doi.org/10.1186/s13256-021-02889-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Denis, M.
Di Giacomo, A.
Lacotte, E.
Porcheret, F.
Letouzé, N.
Lauzier, B.
Goyer, I.
Brossier, D.
From hypotonic maintenance fluid to severe hyponatremia: a case report
title From hypotonic maintenance fluid to severe hyponatremia: a case report
title_full From hypotonic maintenance fluid to severe hyponatremia: a case report
title_fullStr From hypotonic maintenance fluid to severe hyponatremia: a case report
title_full_unstemmed From hypotonic maintenance fluid to severe hyponatremia: a case report
title_short From hypotonic maintenance fluid to severe hyponatremia: a case report
title_sort from hypotonic maintenance fluid to severe hyponatremia: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183082/
https://www.ncbi.nlm.nih.gov/pubmed/34099019
http://dx.doi.org/10.1186/s13256-021-02889-0
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