Evidence map›Paper›PMID 41095998›Full record

ReviewJournal of clinical medicine2025

A Contemporary Narrative Review of Sodium Homeostasis Mechanisms, Dysnatraemia, and the Clinical Relevance in Adult Critical Illness.

Vignesh Raman, Mahesh Ramanan, Felicity Edwards, Kevin B Laupland

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Vignesh RamanFaculty of Health, Queensland University of Technology, Brisbane, QLD 4006, Australia.
Mahesh RamananFaculty of Health, Queensland University of Technology, Brisbane, QLD 4006, Australia.ORCID 0000-0003-4509-4015
Felicity EdwardsFaculty of Health, Queensland University of Technology, Brisbane, QLD 4006, Australia.
Kevin B LauplandFaculty of Health, Queensland University of Technology, Brisbane, QLD 4006, Australia.ORCID 0000-0002-1205-5354

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amongst critically ill patients managed in the intensive care unit (ICU) setting, disorders of sodium and water balance, or dysnatraemias, are commonly encountered either at time of admission or during ICU stay. There is extensive literature associating both extremities of incident dysnatraemia, hyponatraemia, and hypernatremia, with higher mortality and morbidity amongst a range of ICU disease populations. Therefore, a comprehensive understanding of sodium homeostasis mechanisms, effects of deranged sodium physiology, comprehensive diagnostic workup, and avoidance of suboptimal management are paramount to the critical care clinician. This narrative review incorporated a PubMed search to summarise contemporary literature perspectives of (a) sodium homeostasis mechanisms, (b) descriptions of dysnatraemia, (c) ICU-specific challenges to dysnatraemia diagnosis, (d) associated clinical outcomes in critically ill populations, and (e) ongoing paucity to deranged sodium physiology literature relevant to daily ICU practice. The purpose of this review is to both guide critical care clinicians towards performing a diagnostic approach to dysnatraemia with integrated physiology for a tailored treatment strategy as well as highlight ongoing research priorities in the realm of deranged sodium physiology.

Indexed as

critical illnessdysnatraemiahypertonic salinesodium

Identifiers

PMID41095998
PMCPMC12524940

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.