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Cerebral Salt Wasting Syndrome (CSW)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

HyponatremiaHypovolemiaAvoid HypovolemiaHypotensionOptimize HydrationOptimize ElectrolytesUnstable ElectrolytesSeizuresIncreased ICPDecreased MACDelayed EmergenceEmergence DeliriumArrhythmiasRenal DysfunctionAvoid Rapid Sodium Correction

Pathophysiology

Cerebral salt wasting (CSW) is renal sodium loss after a central nervous system insult, producing hyponatremia , a urine sodium above 40 mEq/L, and - the finding that defines it - hypovolemia ....

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