title: Emergency anesthesia for evacuating a traumatic acute subdural hemorrhage in a child overdosed with hypertonic saline.
abstract: A previously healthy 1-year-old child with a traumatic acute subdural hemorrhage received 10 times higher dose of hypertonic saline inadvertently immediately before surgery. This case report describes deviations in fluid management needed to alleviate salt toxicity and its adverse effects during surgery under anesthesia perioperatively. The child made an uneventful recovery with no evident residual damage at follow-up.
authors.affiliation: Department of Anaesthetics, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
authors.forename: Chulananda
authors.initials: C
authors.lastname: Goonasekera
authors.affiliation: Department of Anaesthetics, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
authors.forename: James
authors.initials: J
authors.lastname: Bedford
authors.affiliation: Department of Anaesthetics, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
authors.forename: Sodhi
authors.initials: S
authors.lastname: Harpreet
authors.affiliation: Department of Anaesthetics, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
authors.forename: Mariangela
authors.initials: M
authors.lastname: Giombini
authors.affiliation: Department of Anaesthetics, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
authors.forename: Asme
authors.initials: A
authors.lastname: Sheikh
keywords: Electrolytes; hypertonic saline; pediatric; subdural hemorrhage