Postoperative convulsion in pediatric surgical patient.
10.4097/kjae.1994.27.4.411
- Author:
Youn Suk LEE
1
;
Hae Kyoung KIM
;
Choon Kim CHUNG
Author Information
1. Department of Anesthesiology, Inha General Hospital, School of Medicine, Inha University, Sungnam, Korea.
- Publication Type:Case Report
- Keywords:
Water intoxication;
Hyponatremia;
Convulsion
- MeSH:
Anesthesia;
Anesthesia, General;
Female;
Glucose;
Humans;
Hyponatremia;
Neurologic Manifestations;
Osteotomy;
Postoperative Complications;
Seizures*;
Sodium;
Water;
Water Intoxication
- From:Korean Journal of Anesthesiology
1994;27(4):411-414
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dilutional hyponatremia as one of the postoperative complications shows around 0.34% in pediatric patients, of which iatrogenic administration of salt-free water is the major cause. Aggressive management should be performed if neurologic symptoms and signs coexist. He/she may be expired of respiratory arrest in severe cases, or permanent neurologic sequelae might persist. We report a case of female pediatric surgical patient who received general anesthesia for Salter innominate osteotomy and had generalized convulsions following 5% dextrose administration. Sodium concentration at immediate postconvulsive period revealed 122 mEq/L, appropriate fluid & electrolyte therapy was performed, then sodium level was successfully restored without any sequelae found. We emphasize that it should be checked out prudently whether postoperative free water is administered in the case of postoperative convulsion, while surgical stimuli and anesthesia itself elevate serum antidiuretic hormone level.
