So there is a contentious debate in the nephrology world regarding the safe rates of correction of hyponatremia. For at least a decade, in chronic hyponatremia, has been the watch word. Now in addition to questions as to whether that actually prevents osmotic deymelination, there have been a number of papers published showing an association with slower correction rates and increased mortality. None of this evidence is from high-quality RCTs unfortunately. To shed light on this issue, I brought on the KidneyBoy, Joel Topf, MD.
Joel Topf is a nephrologist in Detroit working for St Clair Specialty Physicians. He is faculty for the Nephrology Fellowship at St John Providence.
Ayus et al. Systematic Review on Hyponatremia Correction Rates
Note: vet these recs with your own nephrology service before using!!
A counter-point from Stern et al.
European Guidelines
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Nassau University Medical Center
No conflicts of interest (coi).
