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World J Crit Care Med. Dec 9, 2025; 14(4): 108744
Published online Dec 9, 2025. doi: 10.5492/wjccm.v14.i4.108744
Hydroelectrolytic syndromes in neuroanesthesia and neurocritical care
Felipe Mejia Herrera, Luca Marino, Federico Bilotta
Felipe Mejia Herrera, Facultad de Ciencias de la Salud, Universidad Icesi, Cali 760000, Valle del Cauca, Colombia
Luca Marino, Department of Mechanical and Aerospace Engineering, “Sapienza” University of Rome, Roma 00185, Italy
Federico Bilotta, Department of Anesthesiology, Critical Care and Pain Medicine, University of Rome “La Sapienza”, Rome 00185, Italy
Author contributions: Mejia Herrera F and Bilotta F wrote the paper; Marino L validated the manuscript; Bilotta F designed the outline and supervised the paper; All authors thoroughly reviewed and endorsed the final manuscript.
Conflict-of-interest statement: All authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Federico Bilotta, MD, PhD, Professor, Department of Anesthesiology, Critical Care and Pain Medicine, University of Rome “La Sapienza”, Piazzale Aldo Moro 5, Rome 00185, Italy. federico.bilotta@uniroma1.it
Received: April 22, 2025
Revised: May 26, 2025
Accepted: September 1, 2025
Published online: December 9, 2025
Processing time: 220 Days and 20.9 Hours
Core Tip

Core Tip: The aim of the present review was to report the latest evidence on the pathophysiology, diagnosis, approach, and targeted management of electrolyte disorders in neuroanesthesia and neurocritical care. Endocrine, neurological, and resuscitation issues will be treated to provide clinical strategies to mitigate secondary neuronal injury and improve outcomes in these critical patients.