[Case reports of disturbances of effective osmolality regulation in disorders of the central nervous system].

The topic of the effective osmolality disorder in the patients with the central nervous system injury is documented with the four selected cases from the case collection monitored in the Department of Anesthesia and Intensive Care. The syndroms were diagnosed using the computer programme evaluating renal functions in relation to homeostasis. Authors present two case reports of the Inappropriate ADH Secretion Syndrome (IADHS), one of the Cerebral Salt Wasting Syndrome (CSWS) and one of Diabetes Insipidus (DI). The cases were recorded with the aid of the computer programme working with the 13 routinely monitored values and 12 output parameters. Two case studies were retrospective. Mentioned four cases are the example of the effective use of the currently monitor values in the intensive care setting. According to the incidence of the effective osmolality disorders, inputing quickness and programme simplicity authors reccomend the routine use of the programme in the central nervous system damaged patients.