Table 1 Overview of reported cases with severe hyponatremia during hysteroscopic surgery
From: Rapid correction of severe hyponatremia after hysteroscopic surgery – a case report
Case report | Lowest Na+ | Normal Na+ after | est. Fluid absorption | Irrigation fluid used | Max. fluid pressure | Surgery time | Treatment for hyponatremia | First clinical manifestation |
|---|---|---|---|---|---|---|---|---|
S. Almonti et al. 2013 [34] | 120 mmol/L | 10 h | 2 L | E-free Gycin 1.5 % | na | 60 min | 7 % NaCl; Furosemid; Mannitol | Myoclonus |
M. Yaprak et al. 2013 [27] | 99 mmol/L | 14 h | 5 L | Mannitol 5 % | na | na | 3 % NaCl; Furosemid | Altered mental status |
N. Sethi et al. 2012 [33] | 100 mmol/L | na | 1 L | Glycin 1.5 % | 80 mmHg | 45 min | 3 % NaCl; Furosemid; sodium bicarbonate | Hypoxia |
B. Yang et al. 2012 [19] | 120 mmol/L | 12 h | 3 L | Dextrose 5 % | 150 mmHg | 70 min | 3 % NaCl; Furosemid | Flatulence and coma |
Y. Woo et al. 2011 [21] | 87 mmol/L | 48 h | 24 L | 2.7 % sorbitol and 0.54 % mannitol | 150 mmHg | 60 min | 3 % NaCl; Furosemid | Increased ventilation pressure |
G. Lee et al. 2009 [35] | 89 mmol/L | 24 h | 7 L | 2.7 % sorbitol and 0.54 % mannitol | 100 mmHg | 40 min | 2 % NaCl; sodium bicarbonate; Furosemid; | Hypotonia, bleeding leading to hysterectomy |
G. Serocki et al. 2009 [36] | 106 mmol/L | 24 h | 0.4 L - 4 L | 2.7 % sorbitol and 0.54 % mannitol | 180 mmHg | 25 min | 0.9 % NaCl | Hypoxia |
C. Estes et al. 2003 [37] | 122 mmol/L | 8 h | 2.4 L | Glycin 1.5 % | na | 90 min | Furosemid | na |