Adam Chodobski therapy for cerebral edema Possible new mechanism underlying hypertonic saline

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  • Adam Chodobski
چکیده

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Possible new mechanism underlying hypertonic saline therapy for cerebral edema.

CEREBRAL EDEMA IS A SIGNIFICANT cause of mortality in patients with traumatic brain injury and ischemic or hemorrhagic stroke. Yet our understanding of the cellular and molecular mechanisms underlying this condition is rather limited, and new treatments showing promise in laboratory studies have frequently been found ineffective in clinical practice. Two types of edema, namely vasogenic and cel...

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  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 ...

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Treatment 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...

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Management of hyponatremia: providing treatment and avoiding harm.

Hyponatremia, in its most severe form, requires urgent infusion of hypertonic saline to correct cerebral edema. However, overly rapid correction of chronic hyponatremia can cause osmotic demyelination syndrome. The authors review the treatment of hyponatremia in order to provide clinicians with a sound approach in a variety of settings in which severity, symptoms, and underlying disease states ...

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Use of Hypertonic Continuous Venovenous Hemodiafiltration to Control Intracranial Hypertension in an End-Stage Renal Disease Patient

Continuous venovenous hemodiafiltration (CVVHDF) using solutions designed to maintain hypernatremia is described in an end-stage renal disease (ESRD) patient with cerebral edema (CE) due to an intracerebral hemorrhage (ICH). Hypernatremia was readily achieved and maintained without complication. CVVHDF should be considered as an alternative treatment option in ESRD patients with cerebral edema ...

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تاریخ انتشار 2006