Postoperative dysnatremia in pediatric patients undergoing palatoplasty

Article Article scientifique Article Postoperative dysnatremia in pediatric patients undergoing palatoplasty eng 2023-05-25 2023-10-01 author Lonfat Ewyanna Division of Pediatric Surgery, Department of Pediatrics, Pediatric Plastic Surgery, Pediatric Surgery Unit, University Center of Pediatric Surgery of Western Switzerland, Geneva University Hospitals, Geneva, Switzerland. 747960 author La Scala Giorgio 0000-0003-1572-598X 37746 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) 1942-1947 10.1097/SCS.0000000000009345 37226304 1049-2275 PMC10521787 https://journals.lww.com/jcraniofacialsurgery/fulltext/2023/10000/postoperative_dysnatremia_in_pediatric_patients.13.aspx Objective: Identifying predisposing factors to dysnatremia to improve perioperative care after cleft surgery. Design: Retrospective case series. Patient data were obtained through the electronic medical records of the hospital. Setting: Tertiary care university hospital. Patients: The inclusion criterion was the measurement of an abnormal natremia value, defined as Na >150 or <130 mmol/l after a cleft lip or cleft palate repair procedure. The exclusion criterion was natremia between 131 and 149 mmol/l. Results: Natremia measurements were available for 215 patients born between 1995 and 2018. Five patients presented with postoperative dysnatremia. Several predisposing factors to dysnatremia have been identified: drugs, infection, administration of intravenous fluids, and postoperative syndrome of inappropriate antidiuretic hormone secretion. Although the hospital environment contributes to dysnatremia development, the fact that only patients undergoing cleft palate repair develop natremia anomalies suggests that this surgery may be itself a risk factor. Conclusion: Children undergoing palatoplasty may be at higher risk to develop postoperative dysnatremia. Early recognition of symptoms and risk factors, postoperative monitoring, and prompt treatment of dysnatremia diminish the risk of neurological complications. Humans Child Infant Cleft Palate / surgery Retrospective Studies Plastic Surgery Procedures Cleft Lip / surgery Postoperative Complications / etiology Postoperative Complications / surgery Treatment Outcome Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 false 546 Recherche clinique en chirurgie pédiatrique 886 The Journal of craniofacial surgery 34 7 9a0adb6b-e119-45b8-85eb-be3bde751489 Article (Published version) Public Article_scientifique_from_europePmc.pdf 425018 application/pdf CC BY-NC-ND-4.0 389abf37d965b38651e01dcf1a8e3a4df44059168742ba7187ca9882ddba91bd 036ac71e-f94e-42ef-8d12-6b2a44e18249 Supplemental data Public scs_2023_04_18_lonfat_scs-22-0981_s.docx 16463 application/vnd.openxmlformats-officedocument.wordprocessingml.document 0f10366c73db812b69eb5e9bc60bbee147a853a7f1531b3a6d2f906322a5c333 3774fa9f-ec52-41d5-9b4c-898f170cf891 Supplemental data Public scs_2023_05_24_lonfat_scs-22-0981_s.docx 32448 application/vnd.openxmlformats-officedocument.wordprocessingml.document ab52c1f9df41954f04e8ce10b4f9f2bafe33405d79302138cd4ca928ba0d7a57 openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Postoperative dysnatremia in pediatric patients undergoing palatoplasty	The Journal of craniofacial surgery			2023	111	290

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Lonfat, Ewyanna