Hypertonic saline in elevated intracranial pressure: past, present, and future.
J Intensive Care Med
; 30(1): 8-12, 2015 Jan.
Article
em En
| MEDLINE
| ID: mdl-23753247
ABSTRACT
Hypertonic Saline (HS) has been a proven and effective therapy and a safe alternative to mannitol in patients with increase intracranial pressure (ICP). We hereby present a case of 25-year-old women with intracranial bleed secondary to right parietal arteriovenous malformation. Patient underwent surgery for evacuation of hematoma and resection of arteriovenous malformation. Post- operative course was complicated by recurrent episodes of elevated ICP. She received total of 17 doses of 23.4% HS and 30 doses of mannitol with good outcome. Despite reluctance from some clinicians to use HS, hypertonic saline seems to be a safe and effective therapy.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Solução Salina Hipertônica
/
Malformações Arteriovenosas Intracranianas
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Hipertensão Intracraniana
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Diuréticos Osmóticos
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Craniectomia Descompressiva
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Manitol
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article