Acute Water Intoxication during Whole Gut Irrigation

Pulmonary oedema during treatment of acute water intoxication.

Acute water intoxication with deepening coma and uncontrolled epileptiform seizures in a 25-year-old previously fit male schizophrenic was treated with hypertonic (2 N) saline and a 20% mannitol solution. This improved his neurological state but precipitated severe pulmonary oedema. Intravenous frusemide increased his urinary output sufficiently to clear the pulmonary oedema. In acute water int...

Water intoxication during carbamazepine treatment.

Carbamazepine has recently been shown to have a vasopressin-like action and, like chlorpropamnide, to be effective in controlling polyuria in patients with diabetes insipidus (Hartman, 1972; Uhlich et al., 1972). In the case reported here carbamazepine, which was being given to a patient suffering from depression and psychogenic polydipsia, induced inappropriate secretion of antidiuretic hormon...

Crisis management during anaesthesia: water intoxication.

BACKGROUND Irrigation of closed body spaces may lead to substantial perioperative fluid and electrolyte shifts. A syndrome occurring during transurethral resection of prostate (TURP), and a similar syndrome described in women undergoing transcervical endometrial ablation (TCEA) are both characterised by a spectrum of symptoms which may range from asymptomatic hyponatraemia to convulsions, coma,...

Royal Infirmary Glasgow WHOLE BOWEL IRRIGATION IN ACUTE POISONING

Sir,—I agree entirely with this view that paravertebral block would provide reduction in requirement for morphine, greater than that achieved with the intercostal block used in our technique. Several of the chest radiographs, including the one in the article, demonstrated contrast medium in the paravertebral space. The statement "it should not be assumed that an intercostal injection of contras...

Water Intoxication