Practical document on the management of hyponatremia in critically ill patients

被引：6

作者：

Broch Porcar, M. J. ^{[1
]}

Rodriguez Cubillo, B. ^{[2
]}

Dominguez-Roldan, J. M. ^{[3
]}

Alvarez Rocha, L. ^{[4
]}

Sanz, Ballesteros ^{[5
]}

Cervera Montes, M. ^{[6
]}

Chico Fernandez, M. ^{[7
]}

de Gea Garcia, J. H. ^{[8
]}

Enriquez Giraudo, P. ^{[9
]}

Garcia de Lorenzo Y Mateos, A. ^{[10
]}

Gomez Lopez, R. ^{[11
]}

Guerrero Pavon, R. ^{[12
]}

Lopez Sanchez, F. ^{[13
]}

Llompart-Pou, J. A. ^{[14
]}

Lubillo Montenegro, S. ^{[15
]}

Molina Collado, Z. ^{[7
]}

Ramirez Galleymore, P. ^{[1
]}

Riveiro Vilaboa, M. ^{[16
]}

Sanchez Corral, A. ^{[17
]}

Herrera-Gutierrez, M. E. ^{[18
]}

机构：

[1] Hosp Univ & Politecn La Fe, Unidad Med Intens, Valencia, Spain

[2] Hosp Univ Clin San Carlos, Serv Nefrol, Madrid, Spain

[3] Hosp Univ Virgen Rocio, Serv Med Intens, Seville, Spain

[4] Hosp Univ A Coruna, Serv Med Intens, La Coruna, Spain

[5] Hosp Univ Marques de Valdecilla, Serv Med Intens, Santander, Spain

[6] Hosp Univ Dr Peset, Serv Med Intens, Valencia, Spain

[7] Hosp Univ 12 Octubre, Serv Med Intens, Unidad Cuidados Intens Trauma & Emergencias, Madrid, Spain

[8] Hosp Clin Univ Virgen Arrixaca, Serv Med Intens, Murcia, Spain

[9] Hosp Rio Hortega, Serv Med Intens, Valladolid, Spain

[10] Hosp Univ La Paz, Serv Med Intens, Madrid, Spain

[11] Hosp Quironsalud Miguel, Unidad Cuidados Intens, Pontevedra, Spain

[12] Hosp Univ Reina Sofia, Unidad Cuidados Intens, Cordoba, Spain

[13] Hosp Gen Univ Alicante, Serv Med Intens, Alicante, Spain

[14] Hosp Univ Son Espases, Serv Med Intens, Palma De Mallorca, Spain

[15] Hosp Univ Nuestra Senora Candelaria, Serv Med Intens, Santa Cruz De Tenerife, Spain

[16] Hosp Univ Vall dHebron, Unidad Cuidados Intens Traumatol, Barcelona, Spain

[17] Hosp Univ Vall dHebron, Serv Med Intens, Barcelona, Spain

[18] Hosp Reg Univ Carlos Haya, Unidad Cuidados Intens, Malaga, Spain

来源：

MEDICINA INTENSIVA | 2019年 / 43卷 / 05期

关键词：

Hyponatremia; Critical care patients; Differential diagnosis; Etiology; Prognosis; Algorithm; Classification; Treatment; Vaptans; ANTI-DIURETIC HORMONE; INAPPROPRIATE SECRETION; RAPID CORRECTION; HEART-FAILURE; SERUM SODIUM; WATER HOMEOSTASIS; VOLUME REGULATION; ORAL TOLVAPTAN; BRAIN EDEMA; VASOPRESSIN;

D O I：

10.1016/j.medin.2018.12.002

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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. (C) 2018 Elsevier Espana, S.L.U. y SEMICYUC. All rights reserved.

引用

页码：302 / 316

页数：15

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