Hospitalized patients have several stimuli for vasopressin production that increase the risk of their serum sodium concentration dropping to dangerous levels. Here, Moritz and Ayus elegantly present evidence to support their opinion that prevention and management of hyponatremia are worryingly inadequate in many institutions. They assert that fundamental changes to long-standing, but erroneous, tenets of fluid therapy are needed to prevent unnecessary deaths.
- Michael L Moritz
- Juan Carlos Ayus
