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Journals / Türk Nöroşirürji Dergsi / 2020 / Cilt: 30 - Sayı: 2

Fluid and Electrolyte Imbalance in Cranial Trauma

Kafa Travmasında Sıvı ve Elektrolit İmbalansı

Serdar KABATAŞ
Erdinç CIVELEK
Ebru ONUK
Pages
250–253
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The benefits of using hypertonic solutions are known but further studies are needed to develop a consensus on the dosage.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Traumatic brain injury is the leading cause of death and disability.
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Key Findings & Data:Most survivors live their life with significant disabilities.
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Conclusion & Impact:The benefits of using hypertonic solutions are known but further studies are needed to develop a consensus on the dosage.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Traumatic brain injury is the leading cause of death and disability. Most survivors live their life with significant disabilities. The effect of direct damage on the brain and the effects of secondary damage and those of the mechanisms against it of the body determine the prognosis in head traumas. The posttraumatic stress response and excessive water retention lead to hyponatremia. Syndromes that can be seen in head traumas and cause an imbalance include inappropriate ADH release, cerebral salt loss syndrome and diabetes insipidus. ICP monitoring is required. Despite appropriate treatment, high-dose barbiturate coma or hypothermia may be used for with ab ICP above 20 mmHg. Mannitol and hypertonic saline are used to lower the intracranial pressure. It is important to avoid hypovolemia, hyperosmolarity and kidney failure. The benefits of using hypertonic solutions are known but further studies are needed to develop a consensus on the dosage.

Özet

Travmatik beyin hasarı ölüm ve sakatlıkların önde gelen nedenidir. Kurtulanların çoğu belirgin sakatlıklarla yaşamlarını sürdürürler.Kafa travmalarında prognozu belirleyen direkt hasarın beyindeki etkisi ile sekonder hasarın ve ona karşı mekanizmaların vücuttakietkisidir. Travma sonrası stres yanıtla aşırı su tutulumu hiponatremiye yol açar. Kafa travmalarında görülebilen ve imbalansyaratabilen sendromlar: Uygunsuz ADH salınımı, serebral tuz kaybı sendromu ve diabetes insipidusa rastlanılabilir. ICP takibiyapılmalıdır. Uygun tedaviye rağmen ICP 20 mmHg’nın üzerinde seyreden hastalarda yüksek doz barbitürat koması veya hipotermiuygulanabilir. Mannitol ve hipertonik salin, intrakranial basıncı düşürmek için kullanılır. Önemli olan hipovolemi, hiperosmolarite veböbrek yetmezliğinden kaçınılmalıdır. Hipertonik solüsyon kullanımının faydası bilinmekte, doz konusunda konsensüs için daha fazlaçalışmaya ihtiyaç duyulmaktadır.

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Cite This Article

KABATAŞ, S., CIVELEK, E., ONUK, E. (2022). Fluid and Electrolyte Imbalance in Cranial Trauma. Türk Nöroşirürji Dergsi, Cilt: 30 - Sayı: 2, 250–253. https://ajindex.com/articles/637213

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References (7)

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