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CASE REPORT
Year : 2021  |  Volume : 8  |  Issue : 2  |  Page : 149-150

Cleft lip and palate with diabetes insipidus: Perioperative management


Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. Deepak Bhaskaran
Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jclpca.jclpca_42_20

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Nasal desmopressin spray is used for the management of diabetes insipidus (DI). Difficulties arise during the perioperative period of cleft repair for the management of DI with nasal desmopressin due to decreased nasal absorption and reduced oral intake. Key to successful peri-operative management is strict monitoring of serum electrolytes, serum and urine osmolality, and fluid administration titrating to urine output. Oral and intravenous desmopressin needs to be used in the perioperative period for managing the condition.


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