Fluid, blood, and blood product management in the craniofacial patient

Pediatr Neurosurg. 1992;18(1):48-52. doi: 10.1159/000120641.


This report is a retrospective review of the perioperative management of 56 children who underwent craniofacial surgical procedures. The use of a combination of 5% dextrose in normal saline or 5% dextrose in Ringer's lactate and normal saline resulted in postoperative sodium values in a normal range. In patients receiving a combination of 5% dextrose and electrolyte No. 48 and normal saline, the mean postoperative sodium level was 130 mEq/l with 9 of 18 patients below 130 mEq/l. Two patients in the series suffered clinical seizures on postoperative day 1 as a result of serum sodium levels of 122 and 121 mEq/l, respectively. We recommend that only solutions with a sodium content between 77 and 154 mEq/l be used routinely in the perioperative management of craniofacial patients.

MeSH terms

  • Adolescent
  • Blood Component Transfusion*
  • Blood Transfusion*
  • Child
  • Child, Preschool
  • Craniosynostoses / blood
  • Craniosynostoses / therapy*
  • Female
  • Fluid Therapy*
  • Humans
  • Hyponatremia / blood
  • Hyponatremia / therapy
  • Infant
  • Male
  • Postoperative Complications / blood
  • Postoperative Complications / therapy*
  • Retrospective Studies