Intended for healthcare professionals


Children are another group at risk of hyponatraemia perioperatively

BMJ 1999; 319 doi: (Published 06 November 1999) Cite this as: BMJ 1999;319:1269
  1. Desmond Bohn, paediatric intensive care specialist (
  1. Department of Critical Care Medicine, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada

    EDITOR—Our poor understanding and practice of giving fluid and electrolytes perioperatively spans all age groups. The editorial by Lane and Allen highlighted elderly postmenopausal women as being particularly at risk of hyponatraemia postoperatively,1 as has been emphasised in several case series, 2 3 and the electronic responses to the editorial also concentrated on this age group (

    The use of hypotonic saline is standard practice for the paediatric age group. This practice is based on calculations of normal physiological requirements for salt and …

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