The effect of a single dose of 3% hypertonic saline versus mannitol 20% for treatment of brain oedema and intracranial hypertension in postoperative patients with supratentorial gliomata

Egyptian Journal of Anaesthesia

Volumn 19, Issue 4, 2003, Pages 371-379

  Afifi, Walid ^a,b   Abdallah, Ikram ^a   Yosry, Mohamed ^a   Awad, Walid ^a  

^a CAIRO UNIVERSITY   (Egypt)

^b NONE   (Egypt)

Author keywords

Brain glioma; Brain oedema; Hypertonic saline; Intracranial hypertension; Mannitol

Indexed keywords

CHLORIDE; CREATININE; MANNITOL; POTASSIUM; SODIUM; SODIUM CHLORIDE; UREA;

ADULT; ARTERIAL GAS; ARTICLE; BRAIN EDEMA; BRAIN PERFUSION; BRAIN TUMOR; CARDIOPULMONARY HEMODYNAMICS; CENTRAL VENOUS PRESSURE; CHLORIDE BLOOD LEVEL; CLINICAL ARTICLE; CLINICAL TRIAL; CONCENTRATION (PARAMETERS); CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CRANIOTOMY; CREATININE BLOOD LEVEL; DRUG EFFICACY; DRUG MECHANISM; DRUG SAFETY; ELECTROLYTE BLOOD LEVEL; FEMALE; GLASGOW COMA SCALE; HEART RATE; HUMAN; INTRACRANIAL HYPERTENSION; INTRACRANIAL PRESSURE; MALE; MEAN ARTERIAL PRESSURE; POTASSIUM BLOOD LEVEL; RANDOMIZED CONTROLLED TRIAL; SIDE EFFECT; SODIUM BLOOD LEVEL; UREA BLOOD LEVEL; URINE VOLUME;

EID: 0242460317     PISSN: 11101849     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (22)

1. Qureshi AI, Suarez JI: Use of hypertonic solutions in treatment of cerebral edema and intracranial hypertension. Crit Care Med 2000;28:3301-3313.
2. Smith QR, Rapoport SI: Cerebrovascular permeability coefficients to sodium, potassium and chloride. J Neurochem 1986;46:1732-1742.
3. Paczynski RP: Osmotherapy. Basic concepts and controversies. Crit Care Med 1997;13:105-129.
4. Smerling A: Hypertonic saline in head trauma: A new recipe for drying and salting. J Neurosurg Anesthesiol 1992;4:1-3.
5. Zornow MH, Oh YS, Scheller MS: A comparison of the cerebral and hemodynamic effects of mannitol and hypertonic saline in an animal model of brain injury. Acta Neurochir Suppl (Wein) 1990;51:324-325.
6. Shackford SR, Schmoker JD, Zhuang J: The effect of hypertonic resuscitation on pial arteriolar tone after brain injury an shock. J Trauma 1994;37:899-908.
7. Hartl R, Medary MB, Ruge M, et al: Hypertonic/hyperoncotic saline attenuates microcirculatory disturbances after traumatic brain injury. J Trauma 1997;42:S41-S47.
8. Schalk KA, Faraci FM, Williams JL, et al: Effect of atriopeptin on production of cerebrospinal fluid. J Cereb Blood Flow Metab 1992;12:691-696.
9. Akdemir G, Luer MS, Dujovny M, et al: Intraventricular atrial natriuretic peptide for acute intracranial hypertension. Neurol Res 1997;19:515-520.
10. Gemma M, Cozzi S, Tommasino C, et al: 7.5% hypertonic saline versus 20% mannitol during elective neurosurgical supratentorial procedures. J Neurosurg Anesthesiol 1997;9:329-334.
11. De Vivo P, Del Gaudio A, Ciritella P, et al: Hypertonic saline solution: A safe alternative to mannitol 18% in neurosurgery. Minerva Anestesiol 2001;67:603-611.
12. Burke AM, Quest DO, Chien S, et al: The effects of mannitol on blood viscosity. J Neurosurg 1981;55: 550-553.
13. Horn P, Munch E, Vajkoczy P, et al: Hypertonic saline solution for control of elevated intracranial pressure in patients with exhausted response to mannitol and barbiturates. Neurol Res 1999;21:758-764.
14. Schwarz S, Georgiadis D, Aschoff A, Schwab S: Effects of hypertonic (10%) saline in patients with raised intracranial pressure after stroke. Stroke 2002;33:136-140.
15. Hartl R, Ghajar J, Hochleuthner H, Mauritz W: Hypertonic/hyperoncotic saline reliably reduces ICP in severely head-injured patients with intracranial hypertension. Acta Neurochir Suppl (Wien) 1997;70:126-129.
16. Hartl R, Ghajar J, Hochleuthner H, Mauritz W: Treatment of refractory intracranial hypertension in severe traumatic brain injury with repetitive hypertonic/hyperoncotic infusions. Zentralbl Chir 1997;122:181-185.
17. Ropper AH, O'Rourke D, Kennedy SF: Head position, intracranial pressure and compliance. Neurology 1982;32:1288-1291.
18. Arbabi S, Garcia I, Bauer G, Maier RV: Hypertonic saline induces prostacyclin production via extracellular signal-regulated kinase (ERK) activation. J Surg Res 1999;83:141-146.
19. Cote CJ, Greenhow DE, Marshall BE: The hypotensive response to rapid intravenous administration of hypertonic solutions in man and in the rabbit. Anesthesiology 1979;50:30-35.
20. Warren SE, Blantz RC: Mannitol. Arch Intern Med 1981;141:493-497.
21. Drobin D, Hahn RG: Kinetics of isotonic and hypertonic plasma volume expanders. Anesthesiology 2002;96:1371-1380.
22. Winters RW, Scaglione PR, Nahas GG, et al: The mechanism of acidosis produced by hyperosmotic solutions. J Clin Invest 1964;43:647-658.