Symptomatic Hyponatremia Following Tonsillectomy despite Using Isotonic Fluid
Yuseon Cheong *
Anesthesiology and Pain Medicine, Kangwon National University School of Medicine and Hospital, South Korea.
Seung Ah Lee
Anesthesiology and Pain Medicine, Kangwon National University School of Medicine and Hospital, South Korea.
Yun Ho Yang
Anesthesiology and Pain Medicine, Kangwon National University School of Medicine and Hospital, South Korea.
Nam Yung Kim
Anesthesiology and Pain Medicine, Kangwon National University School of Medicine and Hospital, South Korea.
*Author to whom correspondence should be addressed.
Abstract
Hyponatremia is the most common electrolyte imbalance in inpatients, but severe symptomatic hyponatremia has a higher mortality rate in compared to normal patients. Post-operative hyponatremia in children can usually occur following administration of hypotonic fluid. However, inappropriate secretion of the antidiuretic hormone can also be the cause of post-operative hyponatremia. The study presents a case of Sixyear girl, who developed symptomatic hyponatremia despite administration of lactated Ringer’s solution after tonsillectomy. After electrolyte correction with 3% saline, the child recovered well without any further complications.
Keywords: Hyponatremia, ileus, tonsillectomy, seizure.