MANEJO DE FLUIDOS EN  ICTUS REVISIÓN DE LA EVIDENCIA Manuel Landa Romero Interno de Medicina Hospital Daniel Alcides Carri...
 
 
 
 
 
Continuous hypertonic saline therapy and the occurrence of complications in neurocritically ill patients   <ul><li>OBJECTI...
<ul><li>serum sodium, blood urea nitrogen, creatinine, ICP, infection rate, length of stay, rates of deep vein thrombosis,...
 
> 145 mg/dl  < 210 mg/dl
efecto Placebo     http://epidemik21.wordpress.com
Upcoming SlideShare
Loading in …5
×

Manejo de Fluidos en Ictus. Revisión

662 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
662
On SlideShare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
14
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Manejo de Fluidos en Ictus. Revisión

  1. 1. MANEJO DE FLUIDOS EN ICTUS REVISIÓN DE LA EVIDENCIA Manuel Landa Romero Interno de Medicina Hospital Daniel Alcides Carrión - Huancayo
  2. 7. Continuous hypertonic saline therapy and the occurrence of complications in neurocritically ill patients <ul><li>OBJECTIVE: To evaluate potential side effects of continuous hypertonic 3% saline (CHS) as maintenance fluid in patients with brain injury. </li></ul><ul><li>PATIENTS: Patients admitted to the neurosurgical intensive care unit for >4 days with traumatic brain injury, stroke , or subarachnoid hemorrhage with a Glasgow Coma Scale <9 and elevated intracranial pressure (ICP) or at risk of developing elevated ICP were included. 3% CHS at a rate of 1.5 mL/kg/bw as maintenance fluid. The other group received 0.9% normal saline (NS). </li></ul>Crit Care Med. 2009 Apr;37(4):1433-41 .
  3. 8. <ul><li>serum sodium, blood urea nitrogen, creatinine, ICP, infection rate, length of stay, rates of deep vein thrombosis, and pulmonary emboli and dural thrombosis were collected prospectively </li></ul><ul><li>RESULT: The incidence of moderate hypernatremia (Na >155 mmol/L) and severe hypernatremia (Na >160 mmol/L) was significantly higher in the CHS therapy group than in the NS group </li></ul><ul><li>CONCLUSIONS: We conclude that CHS administration in patients with severe injuries is safe as long as sodium levels are carefully monitored </li></ul>Continuous hypertonic saline therapy and the occurrence of complications in neurocritically ill patients Crit Care Med. 2009 Apr;37(4):1433-41 .
  4. 10. > 145 mg/dl < 210 mg/dl
  5. 11. efecto Placebo  http://epidemik21.wordpress.com

×