Otolaryngol Head Neck Surg. 1982 Nov-Dec;90(6):700-3.

Hyperosmolar nonketotic coma: prevention, diagnosis, and treatment.

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Department of Otolaryngology, Thomas Jefferson University, Philadelphia, PA, USA.

Abstract

With the multi-faceted approach to head and neck cancer today, maintaining caloric intake by long-term enteral hyperalimentation is commonplace. Along with the tremendous advantages of this form of nutrition, the disadvantage of hyperosmolar nonketotic diabetic acidotic coma is present. Mortality rates are quoted from 40% to 70% according to the literature reviewed. Therefore, prevention is the best form of treatment. The cause, diagnosis, and treatment will be discussed.

PMID:: 10994416; [PubMed - indexed for MEDLINE]

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Hyperosmolar nonketotic coma: prevention, diagnosis, and treatment.

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