Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2763122 | Journal of Clinical Anesthesia | 2012 | 5 Pages |
Abstract
Two patients in end-stage hepatic failure presented for orthotopic liver transplantation with longstanding severe hyponatremia (121 and 122 mmol/L). Both patients underwent liver transplantation with the concomitant use of continuous venovenous hemodiafiltration. Replacement and dialysate solutions were prepared individually to contain a sodium level that was individually considered safe with regard to the development of central pontine myelinolysis. The sodium increase in both patients was within the expected and planned limits despite a situation of mass transfusion. Both patients did well postoperatively and neither patient suffered neurological deficits.
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Authors
Marcus R. Lenk, Michael Kaspar,