Sialorrhea in the assessment and correction of water balance in a 2 month old baby in the ICU: a case report

INTRODUCTION: In some cases, saliva production (sialorrhea — hypersalivation) can be so significant that it needs to monitored and accounted for in the assessment maintenance of patient's water balance. OBJECTIVE: Description a clinical case sialorrhea, which had clinically manifestation balance 2-month-old child intensive care unit (ICU). MATERIALS AND METHODS: Baby, 2 month old, was treated ICU with diagnosis: perinatal organic hypoxic-ischemic lesion central nervous system newborn, congenital pathology brain, respiratory failure III stage, convulsions neonatal coma. complex specific therapy, he received enteral feeding, correction nutritional status. RESULTS: On first day detection level salivation 2.81 ml/kg/hour (the norm is 1.3 ml/kg/hour) exceeded physiological values by more than times. The excess normal persisted next two days, as well on 9th its control, required taking into account amount fluid lost calculation daily requirement. No measures were treatment patient eliminate sialorrhea; within 14 days from moment fact sialorrhea established, returned values. CONCLUSIONS: assessing cumulative factors cause loss patients, especially infants, also necessary take presence intensity salivation, manifest when calculating volume administration infusion drugs.