Open AccessHyperchloremic metabolic acidosis following total gut irrigation with normal saline in pediatric patients: A rare occurrence
Author(s) -
Indu Bala,
Deepak Dwivedi,
Divya Jain,
Jai Kumar Mahajan
Publication year - 2017
Publication title -
indian journal of critical care medicine/indian journal of critical care medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 30
eISSN - 1998-359X
pISSN - 0972-5229
DOI - 10.4103/0972-5229.198329
Subject(s) - medicine , metabolic acidosis , vomiting , abdominal distension , saline , nausea , anesthesia , hypertonic saline
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.