New Guidelines from Europe on Hyponatremia — Physician’s First Watch

Medical News |
March 3, 2014

New Guidelines from Europe on Hyponatremia

By Joe Elia

A clinical practice guideline on the diagnosis and treatment of hyponatremia appears in the European Journal of Endocrinology. It's the result of a collaboration among three European societies.

The writers "were keen to ensure that the document focused on patient-important outcomes and included utility for clinicians involved in everyday practice." To that end, evidence and the recommendations are graded, and practical advice is provided (for example, contemporaneous collection of blood and urine specimens to guide correct interpretation of lab results), as are algorithms for diagnosis and management.

The guidelines were developed by the European Society of Intensive Care Medicine, the European Society of Endocrinology and the European Renal Association — European Dialysis and Transplant Association.

Reader Comments (14)

Cruz Physician, Internal Medicine, IMSS


dr loveleen Resident, Pulmonary Medicine, india

much needed guidelines

Palmira Cupo Physician, Emergency Medicine, Brasil

It is a excellent update of hyponatremia.

madhat iqteit Physician, Pediatric Subspecialty, sa

Verygood idea


In the title 4.5. Target population perspectives,they wrote incorrectly SSCM , but the correct abbreviation of Society of Critical Care Medicine is : SCCM

Tewolde Physician, Nephrology, Community Hospital

You need to talk more often of this interesting topic. Physicians need to be familiar with hyponatremia.

Rajasekar Ramanathan Physician, Internal Medicine, KUMBAKONAM .TAMIL NADU.INDIA

The Guideline are very informative.The Role of vasopressin ,classification based on biochemical severity ,symptoms severity,Time of presentation ,types of Hyponatremia --Pseudo,Isotonic , Hypertonic & Hypotonic are vividly explained.The algorithm charts and the indication of drugs Demeclocycline,Litthium&Tolvaptan are well dealt.In short ,this update is very essential for Physicians.The Guidelines show profound insight. I express my Hearty appreciation & Thanks to the authors.

Mary Mebane, MD Physician, Family Medicine/General Practice, Montrose, CO

update on hyponat, needed seeing more and more

noli montes

very useful

noli montes md Fellow-In-Training, Anesthesiology, hospital

widely useful for my professon

Sunil Narayan Physician, Neurology, Jawaharlal Institute of Postgraduate Medical education and research, Pondicherry

Very good gesture from NEJM to make it free

Odette Jara Physician, Hematology, Bionet

I'm interested in the new European guidelines on hyponatremia.
I hope you can send to me
Dra Odette Jara

Ikram Burney MD, PhD Physician, Oncology, Sultan qabooos University Hospital, Oman

Good idea to develope guidelines like these

Paola De Stefanis Other Healthcare Professional, Anesthesiology, Italy

tolvaptan should always be used?

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