Hyperlactatemia and other perioperative metabolic disturbances in neuroanesthesia.
Curr Opin Anaesthesiol
; 35(5): 537-542, 2022 Oct 01.
Article
em En
| MEDLINE
| ID: mdl-35942723
ABSTRACT
PURPOSE OF REVIEW The concept of 'brain-body cross-talking' has gained growing interest in the last years. The understanding of the metabolic disturbances (e.g., hypernatraemia/hyponatraemia and hyperlactatemia) in neurosurgical patients has improved during the last years. RECENT FINDINGS:
The impact of elevated lactate without acidosis in neurosurgical patients remains controversial. The pathophysiology of inappropriate secretion of antidiuretic hormone (SIADH) has become clearer, whereas the diagnosis of cerebral salt wasting should be used more carefully.SUMMARY:
These findings will contribute to a better understanding of the pathophysiology involved and enable better prevention and therapy where possible in clinical practice.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Hiperlactatemia
/
Hiponatremia
/
Síndrome de Secreção Inadequada de HAD
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article