Potentially Detrimental Effects of Hyperosmolality in Patients Treated for Traumatic Brain Injury

Dabrowski, Wojciech ✉; Siwicka-Gieroba, Dorota ✉; Robba, Chiara; Bielacz, Magdalena; Solek-Pastuszka, Joanna; Kotfis, Katarzyna; Bohatyrewicz, Romuald; Jaroszynski, Andrzej; Malbrain, Manu L. N. G.; Badenes, Rafael

Angol nyelvű Tudományos Összefoglaló cikk (Folyóiratcikk)
Megjelent: JOURNAL OF CLINICAL MEDICINE 2077-0383 10 (18) Paper: 4141 , 12 p. 2021
    Azonosítók
    Szakterületek:
      Hyperosmotic therapy is commonly used to treat intracranial hypertension in traumatic brain injury patients. Unfortunately, hyperosmolality also affects other organs. An increase in plasma osmolality may impair kidney, cardiac, and immune function, and increase blood-brain barrier permeability. These effects are related not only to the type of hyperosmotic agents, but also to the level of hyperosmolality. The commonly recommended osmolality of 320 mOsm/kg H2O seems to be the maximum level, although an increase in plasma osmolality above 310 mOsm/kg H2O may already induce cardiac and immune system disorders. The present review focuses on the adverse effects of hyperosmolality on the function of various organs.
      Hivatkozás stílusok: IEEEACMAPAChicagoHarvardCSLMásolásNyomtatás
      2021-12-07 04:38