MANITOL VS SOLUCION HIPERTONICA PDF

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In , the Brazilian Journal of Anesthesiology was established as the official publication of the Brazilian Society of Anesthesiology.

Its target audience comprises anesthesiologists who are members of the Brazilian Society of Anesthesiology and other physicians with interest in the area. The journal promotes the progress, improvement, and disclosure of anesthesiology, intensive care, treatment of pain, and cardiopulmonary resuscitation.

From to , the Brazilian Journal of Anesthesiology was published every three months. Since , it has been published every two months. From to , it was also published in Spanish, electronically. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published. Read more.

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Cerebral relaxation during intracranial surgery is necessary, and hiperosmolar therapy is one of the measures used to this end. Frequently, neurosurgical patients have sodium imbalances.

The objective of the present study was to quantify and determine cerebral relaxation and duration of hydroelectrolytic changes secondary to the use of mannitol versus hypertonic isoncotic solution HIS during neurosurgery.. The volume of intravenous fluids infused and diuresis were recorded. A statistically significant difference in cerebral relaxation between both groups was not observed.

Although several changes in electrolyte levels and acid-base balance with mannitol or HIS reached statistical significance only the reduction in plasma sodium 30 minutes after infusion of mannitol, mean of 6.

L -1 , and the increase in chloride, mean of 5. L -1 and 5. L -1 30 and minutes after infusion of HIS, caused a transitory dislocation of serum ion levels from normal range.

A single dose of hypertonic isoncotic saline solution [7. Brazilian Journal of Anesthesiology English Edition. ISSN: Open Access Option. Previous article Next article.

Issue 4. Pages 01 July Download PDF. Corresponding author. This item has received. Under a Creative Commons license. Article information. Background and objectives Cerebral relaxation during intracranial surgery is necessary, and hiperosmolar therapy is one of the measures used to this end. The objective of the present study was to quantify and determine cerebral relaxation and duration of hydroelectrolytic changes secondary to the use of mannitol versus hypertonic isoncotic solution HIS during neurosurgery.

Results A statistically significant difference in cerebral relaxation between both groups was not observed. Conclusions A single dose of hypertonic isoncotic saline solution [7. Saline Solution, Hypertonic. Full text is only aviable in PDF.

Hans, V. Why we still use intravenous drugs as the basic regimen for neurosurgical anaesthesia. Curr Opin Anaesthesiol, 19 , pp. Randell, M. Management of physiological variables in neuroanaesthesia: maintaining homeostasis during intracranial surgery.

Tommasino, V. Best Pract Res Clin Anaesthesiol, 21 , pp. Tisdall, M. Crocker, J. Watkiss, et al. Disturbances of sodium in critically ill adult neurologic patients: a clinical review. J Neurosurg Anesthesiol, 18 , pp. Kofke, M. Monitoring and intraoperative management of elevated intracranial pressure and decompressive craniectomy.

Anesthesiol Clin, 25 , pp. Hypertonic saline solutions for treatment of intracranial hypertension. Curr Opin Anaesthesiol, 20 , pp. De Vivo, A. Del Gaudio, P. Ciritella, et al. Minerva Anestesiol, 67 , pp.

Bentsen, H. Breivik, T. Lundar, et al. Hypertonic saline 7. Crit Care Med, 34 , pp. Gemma, S. Cozzi, C. Tommasino, et al. J Neurosurg Anesthesiol, 9 , pp. Rozet, N. Tontisirin, S. Muangman, et al. Effect of equiosmolar solutions of mannitol versus hypertonic saline on intraoperative brain relaxation and electrolyte balance.

Anesthesiology, , pp. Anesthesiol Clin North America, 20 , pp. Qureshi, J. Use of hypertonic saline solutions in treatment of cerebral edema and intracranial hypertension.

Crit Care Med, 28 , pp. Rocha-e-Silva, L. Poli de Figueiredo. Small volume hypertonic resuscitation of circulatory shock. Clinics Sao Paulo , 60 , pp. Hypertonic saline in critical care: a review of the literature and guidelines for use in hypotensive states and raised intracranial pressure. Anaesthesia, 64 , pp. The American Association of Neurological Surgeons. Guidelines for cerebral perfusion pressure. J Neurotrauma, 17 , pp. Tommasino, S.

Moore, M. Cerebral effects of isovolemic hemodilution with crystalloid or colloid solutions. Crit Care Med, 16 , pp. Harutjunyan, C. Holz, A. Rieger, et al. Efficiency of 7. Crit Care, 9 , pp. Schwarz, S. Schwab, M. Bertram, et al.

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Manitol tem-se tornado a base tradicional da terapia hiperosmolar 5. Rozet e col. Harutjunyan e col. Schwarz e col.

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Summary Background and objectives Cerebral relaxation during intracranial surgery is necessary, and hiperosmolar therapy is one of the measures used to this end. Frequently, neurosurgical patients have sodium imbalances. The objective of the present study was to quantify and determine cerebral relaxation and duration of hydroelectrolytic changes secondary to the use of mannitol versus hypertonic isoncotic solution HIS during neurosurgery. The volume of intravenous fluids infused and diuresis were recorded. Results A statistically significant difference in cerebral relaxation between both groups was not observed. Although several changes in electrolyte levels and acid-base balance with mannitol or HIS reached statistical significance only the reduction in plasma sodium 30 minutes after infusion of mannitol , mean of 6. L-1, and the increase in chloride, mean of 5.

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