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Practical document on the management of hyponatremia in critically ill patients

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Cubillo, BR
  • Dominguez-Roldan, JM
  • Rocha, LA
  • Sanz, B
  • Montes, MC
  • Fernandez, MC
  • Garcia, JHD
  • Giraudo, PE
  • Mateos, AGDY
  • Lopez, RG
  • Pavon, RG
  • Sanchez, FL
  • Llompart-Pou, JA
  • Montenegro, SL
  • Collado, ZM
  • Vilaboa, MR
  • Corral, AS
  • Herrera-Gutierrez, ME

Grupos

Abstract

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.

Datos de la publicación

ISSN/ISSNe:
0210-5691, 1578-6749

MEDICINA INTENSIVA  ELSEVIER DOYMA SL

Tipo:
Article
Páginas:
302-316
PubMed:
30678998
Factor de Impacto:
0,356 SCImago ℠
Cuartil:
Q3 SCImago ℠

Citas Recibidas en Web of Science: 4

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Keywords

  • Hyponatremia; Critical care patients; Differential diagnosis; Etiology; Prognosis; Algorithm; Classification; Treatment; Vaptans

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