Acute hyponatremia in the perioperative period: insights into its pathophysiology and recommendations for management.

@article{Gowrishankar1998AcuteHI,
  title={Acute hyponatremia in the perioperative period: insights into its pathophysiology and recommendations for management.},
  author={Manjula Gowrishankar and Shih-Hua Lin and Jean Pierre Malli{\'e} and Man Seok Oh and Mitchell L. Halperin},
  journal={Clinical nephrology},
  year={1998},
  volume={50 6},
  pages={352-60}
}
Our purpose is to review the topic of acute postoperative hyponatremia by focusing on pertinent aspects of the physiology of water and solute excretion. Four areas will be highlighted: an examination of the source of addition of electrolyte-free water, an exploration of the basis for the very large natriuresis that occurs during cerebral salt wasting following neurosurgery, possible reasons to explain why acute postoperative hyponatremia may pose a greater risk for young women [Ayus and Arieff… CONTINUE READING