Emergency anesthesia for evacuating a traumatic acute subdural hemorrhage in a child overdosed with hypertonic saline

A previously healthy 1-year-old child with a traumatic acute subdural hemorrhage received 10 times higher dose of hypertonic saline inadvertently immediately before surgery. This case report describes deviations in fluid management needed to alleviate salt toxicity and its adverse effects during sur...

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Bibliographic Details
Published inJournal of pediatric neurosciences Vol. 11; no. 4; pp. 328 - 330
Main Authors Goonasekera, Chulananda, Bedford, James, Harpreet, Sodhi, Giombini, Mariangela, Sheikh, Asme
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.10.2016
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Subjects
Anesthesia
Care and treatment
Case Report
Complications and side effects
Hypertonic solutions
Risk factors
Subdural hematoma
subdural hemorrhage
Electrolytes
hypertonic saline
pediatric
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Summary:A previously healthy 1-year-old child with a traumatic acute subdural hemorrhage received 10 times higher dose of hypertonic saline inadvertently immediately before surgery. This case report describes deviations in fluid management needed to alleviate salt toxicity and its adverse effects during surgery under anesthesia perioperatively. The child made an uneventful recovery with no evident residual damage at follow-up.
ISSN:1817-1745
1998-3948
DOI:10.4103/1817-1745.199478