Key result
Deviations in perioperative fluid management successfully alleviated salt toxicity in a 1-year-old child who received a 10-fold overdose of hypertonic saline, leading to an uneventful recovery.
Case Report (n=1)
Tailored fluid management during emergency anesthesia can successfully mitigate the adverse effects of severe hypertonic saline overdose in pediatric patients.
May inform emergency management of pediatric hypertonic saline overdose; hypothesis-generating and requires prospective validation.
A previously healthy 1-year-old child with a traumatic acute subdural hemorrhage received 10 times higher dose of hypertonic saline inadvertently immediately before surgery. This case report describes deviations in fluid management needed to alleviate salt toxicity and its adverse effects during surgery under anesthesia perioperatively. The child made an uneventful recovery with no evident residual damage at follow-up.
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Goonasekera et al. (2016) conducted a case report in Traumatic acute subdural hemorrhage and hypertonic saline overdose (n=1). Deviations in fluid management to alleviate salt toxicity was evaluated on Recovery and residual damage. Deviations in perioperative fluid management successfully alleviated salt toxicity in a 1-year-old child who received a 10-fold overdose of hypertonic saline, leading to an uneventful recovery.
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