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- Marcus R Lenk and Michael Kaspar.
- Klinik für Anästhesiologie, Klinikum der Universität München, Campus Grosshadern, Marchioninistrasse 15, D-81377 München, Germany. marcus.lenk@med.uni-muenchen.de
- J Clin Anesth. 2012 Aug 1;24(5):407-11.
AbstractTwo patients in end-stage hepatic failure presented for orthotopic liver transplantation with longstanding severe hyponatremia (121 and 122 mmol/L). Both patients underwent liver transplantation with the concomitant use of continuous venovenous hemodiafiltration. Replacement and dialysate solutions were prepared individually to contain a sodium level that was individually considered safe with regard to the development of central pontine myelinolysis. The sodium increase in both patients was within the expected and planned limits despite a situation of mass transfusion. Both patients did well postoperatively and neither patient suffered neurological deficits.Copyright © 2012 Elsevier Inc. All rights reserved.
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