Hyponatremia in Postoperative Patients
|Basharat Mujtaba1, Arif Hussain Sarmast1,*, Nida Farooq Shah2, Hakim Irfan Showkat3 and Gupta RP4|
|1Department of Neurosurgery, Sher I Kashmir Institute of Medical Sciences, India|
|2Department of Anaesthesiology & Critical Care, Sher I Kashmir Institute Of Medical Sciences, India|
|3Department of Cardiology, National Heart Institute, India|
|4Department of General Surgery, Shanti Mukund Hospital, India|
|*Corresponding Author :||Arif Hussain Sarmast
Department of Neurosurgery
Sher I Kashmir Institute of Medical Sciences
Dalipora Kawadara Srinagar Kashmir, India
Tel: 91 9906859742
E- mail: [email protected]
|Received: January 20, 2016 Accepted: January 22, 2016 Published: February 25, 2016|
|Citation: Mujtaba B, Sarmast AH, Shah NF, Showkat HI, Gupta RP (2016) Hyponatremia in Postoperative Patients. Gen Med (Los Angel) 4:224. doi:10.4172/2327-5146.1000224|
|Copyright: © 2016 Mujtaba B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Object: This study was done to evaluate the adverse effect of hyponatremia in post-operative patients, the clinical spectrum of complications and comparative study of these complications between the elderly patients (age > 50 years) and relatively young patients (age <50 years).
Methods: The present’s study of clinical co-relation of hyponatremia in post-operative patients was carried out in 60 patients. The patients were taken from Department of Surgery. Patients were randomly selected and divided into two groups on the basis of age. Group 1, <50 years of age and group 2, >50 years of age. All selected patients were asked for detailed history of illness and a complete physical and systemic examination was done. All baseline and other relevant investigation were done for confirmation of diagnosis and as pre-operative work up. Serum sodium and potassium was checked in all patients pre-operatively and only serum sodium was checked 24 hours and 48 hours post-operatively.
Results: Significant number of patients post operatively developed hyponatremia (30%) and complications (30%) related to hyponatremia ranging from headache, nausea to altered sensorium. (p<0.05, statistically significant). The number of patients who developed post-operative hyponatremia as well as complications of hyponatremia was observed more in the patients who were more than 50 years of age (39.3%). Post-operative hyponatremia and related complications was observed more in patients who were having abdominal pathology like peritonitis and abdominal trauma, (33.3%) which was not statistically significant. Patients who were operated under general anesthesia (72.2%) developed more hyponatremia as compared to patients who were operated under local anesthesia or regional anesthesia (27.8%), which was statistically significant.
Conclusion: We conclude that post- operative hyponatremia is not an uncommon post-operative complication and its progression to severe neurological manifestations like seizures, coma and eventual death can be prevented by anticipating hyponatremia in high risk patients, not confusing early manifestations with normal post-operative sequelae and treating hyponatremia as earlier as its symptoms appear.