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Department of Anaesthesiology and Intensive Care, Medical University of Lublin, Lublin, 20-954, Poland
Department of Anaesthesia and Intensive Care, Policlinico San Martino, Genova, 16100, Italy
Institute of Tourism and Recreation, State Vocational College of Szymon Szymonowicz, Zamosc, 22-400, Poland
Department of Anaesthesiology and Intensive Care, Pomeranian Medical University, Szczecin, 71-252, Poland
Department of Anaesthesiology, Intensive Therapy and Acute Intoxications, Pomeranian Medical University, Szczecin, 70-111, Poland
Department of Nephrology, Institute of Medical Science, Jan Kochanowski University of Kielce, Kielce, 25-736, Poland
International Fluid Academy, Dreef 3, Lovenjoel, 2260, Belgium
Medical Department, AZ Jan Palfjin Hospital, Watersportlaan 5, Gent, 9000, Belgium
Department of Anaesthesiology and Intensive Care, Hospital Clìnico Universitario de Valencia, University of Valencia, Valencia, 46010, Spain
Export Date: 28 October 2021
Correspondence Address: Dabrowski, W.; Department of Anaesthesiology and Intensive Care, Poland; email: w.dabrowski5@yahoo.com
Correspondence Address: Siwicka-Gieroba, D.; Department of Anaesthesiology and Intensive Care, Poland; email: dsiw@wp.pl
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Potentially Detrimental Effects of Hyperosmolality in Patients Treated for Traumatic Brain Injury
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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.
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<div class="JournalArticle Publication short-list"> <div class="authors"> <span class="author-name" > Dabrowski, Wojciech ✉ </span> <span class="author-type"> </span> ; <span class="author-name" > Siwicka-Gieroba, Dorota ✉ </span> <span class="author-type"> </span> ; <span class="author-name" > Robba, Chiara </span> <span class="author-type"> </span> ; <span class="author-name" > Bielacz, Magdalena </span> <span class="author-type"> </span> ; <span class="author-name" > Solek-Pastuszka, Joanna </span> <span class="author-type"> </span> ; <span class="author-name" > Kotfis, Katarzyna </span> <span class="author-type"> </span> ; <span class="author-name" > Bohatyrewicz, Romuald </span> <span class="author-type"> </span> ; <span class="author-name" > Jaroszynski, Andrzej </span> <span class="author-type"> </span> ; <span class="author-name" > Malbrain, Manu L. N. G. </span> <span class="author-type"> </span> ; <span class="author-name" > Badenes, Rafael </span> <span class="author-type"> </span> </div ><div class="title"><a href="/gui2/?mode=browse¶ms=publication;32439167" mtid="32439167" target="_blank">Potentially Detrimental Effects of Hyperosmolality in Patients Treated for Traumatic Brain Injury</a></div> <div class="pub-info"> <span class="journal-title">JOURNAL OF CLINICAL MEDICINE</span> <span class="journal-volume">10</span> : <span class="journal-issue">18</span> <span class="page"> Paper: 4141 , 12 p. </span> <span class="year">(2021)</span> </div> <div class="pub-end"><div class="identifier-list"> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.3390/jcm10184141" target="_blank" href="https://doi.org/10.3390/jcm10184141"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000700704000001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000700704000001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85114747773" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85114747773"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="34575255" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=34575255&dopt=Abstract"> PubMed </a> </span> </span> </div> <div class="short-pub-prop-list"> <span class="short-pub-mtid"> Közlemény:32439167 </span> <span class="status-holder"><span class="status-data status-VALIDATED"> Egyeztetett </span></span> <span class="pub-core"> Idéző </span> <span class="pub-type">Folyóiratcikk (Összefoglaló cikk ) </span> <!-- && !record.category.scientific --> <span class="pub-category">Tudományos</span> </div> </div> </div><div class="JournalArticle Publication long-list">
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<div class="autype autype0"> <span class="author-name" >Dabrowski Wojciech ✉
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<span class="author-name" >Siwicka-Gieroba Dorota ✉
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<span class="author-name" >Jaroszynski Andrzej
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;
<span class="author-name" >Malbrain Manu L. N. G.
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;
<span class="author-name" >Badenes Rafael
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<div class="title"><a href="/gui2/?mode=browse¶ms=publication;32439167" target="_blank">Potentially Detrimental Effects of Hyperosmolality in Patients Treated for Traumatic Brain Injury</a></div> <div> <span class="journal-title">JOURNAL OF CLINICAL MEDICINE</span>
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Paper 4141.
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<pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Department of Anaesthesiology and Intensive Care, Medical University of Lublin, Lublin, 20-954, Poland
Department of Anaesthesia and Intensive Care, Policlinico San Martino, Genova, 16100, Italy
Institute of Tourism and Recreation, State Vocational College of Szymon Szymonowicz, Zamosc, 22-400, Poland
Department of Anaesthe...</pre>
</div></div>