title: Hyperchloremic Metabolic Acidosis Following Total Gut Irrigation with Normal Saline in Pediatric Patients: A Rare Occurrence.
abstract: Use of 0.9% sodium chloride for total gut irrigation (TGI) through nasogastric route is an effective method of bowel preparation in children undergoing colorectal surgeries. TGI with normal saline (NS) can result in nausea, vomiting, abdominal distension, and mild electrolyte imbalance; however, hyperchloremic metabolic acidosis has not been documented. We report two cases of hyperchloremic metabolic acidosis in children posted for colorectal surgery following TGI with NS who were successfully managed.
authors.affiliation: Department of Anaesthesia and Intensive Care, Post Graduate Institute and Medical Education Research, Chandigarh, India.
authors.forename: Indu
authors.initials: I
authors.lastname: Bala
authors.affiliation: Department of Anaesthesia and Critical Care, Institute of Naval Medicine, INHS Asvini, Mumbai, Maharashtra, India.
authors.forename: Deepak
authors.initials: D
authors.lastname: Dwivedi
authors.affiliation: Department of Anaesthesia and Intensive Care, Post Graduate Institute and Medical Education Research, Chandigarh, India.
authors.forename: Divya
authors.initials: D
authors.lastname: Jain
authors.affiliation: Department of Paediatric Surgery, Post Graduate Institute and Medical Education Research, Chandigarh, India.
authors.forename: Jai Kumar
authors.initials: JK
authors.lastname: Mahajan
keywords: Acidosis; anion gap; anorectal malformation; balanced salt solution; pediatrics; rectovaginal fistula; water-electrolyte imbalance