Letters

Management of acute symptomatic hyponatraemia

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6922.203b (Published 15 January 1994) Cite this as: BMJ 1994;308:203
  1. C Heneghan,
  2. P Goldrick,
  3. H Pham
  1. Ealing Hospital NHS Trust, Southall UB1 3HW.

    EDITOR, - During transurethral resection of the prostate intravascular absorption of urological irrigation fluid (1.5% glycine) may reduce the serum sodium concentration to <115 mmol/1 in under 15 minutes (a reduction of more than 80 mmol/l/h), and patients may need inotropic support or ventilation, or both (transurethral resection syndrome). Alan Arieff has suggested that such hyponatraemia should be corrected at rates of only 1-2 (SD 1.7) mmol/1/h,1 even though he has stated that the rate of correction …

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