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Difficult Fluid Management during the Perioperative Period of Open-heart Surgery in a Patient with Central Diabetes Insipidus Shiho SAITO 1 , Yuta TSUJIMOTO 1 , Shun KOBAYASHI 1 , Nobutoshi MATSUMURA 1 , Rieko KUTSUZAWA 2 , Takuma SUGIYAMA 3 , Takuro SUDA 4 , Seiji TAKAOKA 4 , Kenichiro TAKEDA 1 1Department of Emergency Medicine, Yamagata Prefectural Central Hospital 2Department of Cardiovascular Surgery, Yamagata Prefectural Central Hospital 3Department of Endocrinology, Yamagata Prefectural Central Hospital 4Department of Anesthesiology, Yamagata Prefectural Central Hospital Keyword: central diabetes insipidus , open heart surgery , perioperative management , antidiuretic hormone pp.387-391
Published Date 2024/6/10
DOI https://doi.org/10.18916/masui.2024060007
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 There are only a few published reports regarding the perioperative management of open-heart surgery in patients with central diabetes insipidus. We present the case of a 35-year-old man with central diabetes insipidus who underwent a second open heart surgery conducted to correct prosthetic valve insufficiency. Difficulties with the patient’s postoperative fluid management were encountered, but we were able to accomplish sufficient management by strictly evaluating the patient’s fluid volume and electrolytes and by switching from the continuous intravenous vasopressin to an intranasal and then an oral administration of desmopressin.


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電子版ISSN 印刷版ISSN 0021-4892 克誠堂出版

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