Hypertonic saline treatment in cerebral edema- is the evidence sufficient.
نویسنده
چکیده
First, outcome variable of “duration of comatose state” included all patients irrespective of their survival status. Failure to censor this time-to-event ‘duration of coma’ variable by mortality in this study is a major methodological flaw in evaluating treatment efficacy. Indeed, more aptly definable endpoint would be the “duration of resolution of abnormal mental status (or length of time to recovery from coma)”.
منابع مشابه
مقایسه اثر سرم مانیتول 20 درصد با سالین هیپرتونیک 5 درصد در درمان استروک مغزی (کارآزمایی بالینی دوسوکور)
Introduction : Various treatments are used to reduce cerebral edema in stroke patients that show signs of RICP. Mannitol is used as the first line of standard therapy in the control of RICP in the acute phase. Presently most of the researches are focused on the use of hypertonic saline in the treatment of cerebral edema and recent studies have shown that it can replace serum mannitol and may ...
متن کاملTreatment of cerebral edema.
BACKGROUND Cerebral edema is a potentially devastating complication of various acute neurologic disorders. Its successful treatment may save lives and preserve neurologic function. REVIEW SUMMARY Different pathophysiological mechanisms are responsible for the formation of cytotoxic and vasogenic edema. Yet, these 2 types of edema often coexist and their treatment tends to overlap, with the ex...
متن کاملHYPERTONIC LACTATED RINGER\'S SOLUTION IN EXPERIMENTAL VASOGENIC BRAIN EDEMA IN RABBITS: EFFECT ON BLOOD PRESSURE, ELEC TROLYTES, BLOOD UREA NITROGEN , TOTAL PROTEIN CONCENTRATION, PLASMA OSMOLALITY, AND CEREBRAL WATER CONTENT
Hypertonic solutions play an important role in the treatment of tissue edema. Following the induction of experimental vasogenic brain edema by occlusion of the common carotid arteries in eight rabbits, the effect of hypertonic lactated Ringer's solution (subjects), vs. isotonic lactated Ringer's solution (control), was studied on blood pressure, electrolyte (sodium, potassium, and calcium) ...
متن کاملHypertonic saline and stroke.
Cytotoxic brain edema—swelling of nerve and glial cells—is among the very early pathophysiologic sequelae of focal cerebral ischemia. Once cell swelling has exhausted the cerebral compliance, intracranial pressure increases and, thereby, causes secondary ischemia. Hypertonic solutions, mannitol in particular, have long been used to reduce intracranial pressure. More recently, hypertonic saline ...
متن کاملHypertonic saline treatment in children with cerebral edema.
OBJECTIVE To compare the efficacy and side effects of hypertronic saline and mannitol use in cerebral edema. DESIGN Retrospective study. SETTING Pediatric intensive care unit. SUBJECTS 67 patients with cerebral edema. METHODS Patients with cerebral edema treated with either mannitol or hypertronic saline (HS) (Group II: n = 25), and both mannitol and HS (Group III: n = 20) were evaluate...
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ورودعنوان ژورنال:
- Indian pediatrics
دوره 45 6 شماره
صفحات -
تاریخ انتشار 2008