Managing Hyponatremia in a Liver-Kidney Transplant Patient During a Nationwide IV Fluid Shortage: A Perioperative Challenge

Authors

Rania Fardous, Corewell Health East Resident
Saifeldin Mahmoud, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-12-2025

Abstract

The 2024 IV fluid shortage complicated perioperative fluid and electrolyte management, particularly in transplant cases. This case examines hyponatremia management in a 49-year-old male with ESLD from alcohol-related cirrhosis and CKD undergoing a liver-kidney transplant. Intraoperative challenges included hypothermia, hyperglycemia, and limited IV fluid availability, requiring alternative sodium correction strategies. This case highlights the interplay of cirrhosis-related hyponatremia, metabolic derangements, and fluid management while emphasizing the risks of sodium overcorrection. Adaptive strategies, including judicious IV fluid use, vasopressors, and alternative sodium replacement, were employed to optimize outcomes.

Comments

American Society of Anesthesiologists, The Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX

Recommended Citation

Fardous R, Mahmoud S. Managing hyponatremia in a liver-kidney transplant patient during a nationwide IV fluid shortage: a perioperative challenge. Presented at: American Society of Anesthesiologists, The Anesthesiology Annual Meeting; 2025 Oct 12; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/8950