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Disturbances of sodium in critically ill adult neurologic patients: A clinical review

Tisdall, M; Crocker, M; Watkiss, J; Smith, M; (2006) Disturbances of sodium in critically ill adult neurologic patients: A clinical review. Journal of Neurosurgical Anesthesiology , 18 (1) pp. 57-63. 10.1097/01.ana.0000191280.05170.0f. Green open access

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Abstract

Disorders of sodium and water balance are common in critically ill adult neurologic patients. Normal aspects of sodium and water regulation are reviewed. The etiology of possible causes of sodium disturbance is discussed in both the general inpatient and the neurologic populations. Areas of importance are highlighted with regard to the differential diagnosis of sodium disturbance in neurologic patients, and management strategies are discussed. Specific discussions of the etiology, diagnosis, and management of cerebral salt wasting syndrome, the syndrome of inappropriate antidiuretic hormone secretion, and central diabetes insipidus are presented, as well as the problems of overtreatment. The importance of diagnosis at an early stage of these diseases is stressed, with a recommendation for conservative management of milder cases. Copyright © 2005 by Lippincott Williams & Wilkins.

Type: Article
Title: Disturbances of sodium in critically ill adult neurologic patients: A clinical review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1097/01.ana.0000191280.05170.0f
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/2466
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