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01-10-2020 | Central Nervous System Trauma | Response to Letter To The Editor

Response to Drs. Quintard, et al.

Authors: Aaron M. Cook, Lori Shutter

Published in: Neurocritical Care | Issue 2/2020

Excerpt

Drs. Quintard, et al. we thank you for your attentive reading and consideration of the Neurocritical Care Society Cerebral Edema treatment guidelines [1]. Your letter brings up the point that our writing group debated and deliberated over the most. We agree that the literature in this area is not definitive and that variability exists across the studies and meta-analyses regarding the effect of hypertonic sodium solutions (HTS) and mannitol on cerebral edema or intracranial pressure. …

Cook AM, Morgan Jones G, Hawryluk GWJ, et al. Guidelines for the acute treatment of cerebral edema in neurocritical care patients. Neurocrit Care. 2020;32(3):647–66.CrossRef

Guyatt GH, Oxman AD, Kunz R, et al. Going from evidence to recommendations. BMJ. 2008;336(7652):1049–51.CrossRef

Vialet R, Albanèse J, Thomachot L, et al. Isovolume hypertonic solutes (sodium chloride or mannitol) in the treatment of refractory posttraumatic intracranial hypertension: 2 mL/kg 7.5% saline is more effective than 2 mL/kg 20% mannitol. Crit Care Med. 2003;31(6):1683–7.CrossRef

Ware ML, Nemani VM, Meeker M, Lee C, Morabito DJ, Manley GT. Effects of 23.4% sodium chloride solution in reducing intracranial pressure in patients with traumatic brain injury: a preliminary study. Neurosurgery. 2005;57(4):727–36 (discussion 727–736).CrossRef

Chatterjee N, Chaudhury A, Mukherjee S, Prusty GK, Chattopadhyay T, Saha S. Efficacy of different hypertonic solutes in the treatment of refractory intracranial hypertension in severe head injury patients: a comparative study of 2 ml/kg 7.5% hypertonic saline and 2 ml/kg 20% mannitol. Indian J Neurotrauma. 2007;4(2):101–8.CrossRef

Francony G, Fauvage B, Falcon D, et al. Equimolar doses of mannitol and hypertonic saline in the treatment of increased intracranial pressure. Crit Care Med. 2008;36(3):795–800.CrossRef

Ichai C, Armando G, Orban JC, et al. Sodium lactate versus mannitol in the treatment of intracranial hypertensive episodes in severe traumatic brain-injured patients. Intensive Care Med. 2009;35(3):471–9.CrossRef

Mangat HS, Chiu YL, Gerber LM, Alimi M, Ghajar J, Hartl R. Hypertonic saline reduces cumulative and daily intracranial pressure burdens after severe traumatic brain injury. J Neurosurg. 2015;122(1):202–10.CrossRef

Mangat HS, Wu X, Gerber LM, et al. Hypertonic saline is superior to mannitol for the combined effect on intracranial pressure and cerebral perfusion pressure burdens in patients with severe traumatic brain injury. Neurosurgery. 2019;86(2):221–30.CrossRef

Title: Response to Drs. Quintard, et al.
Authors: Aaron M. Cook
Lori Shutter
Publication date: 01-10-2020
Publisher: Springer US
Keywords: Central Nervous System Trauma
Intracranial Hypertension
Mannitol
Cerebral Edema
Published in: Neurocritical Care / Issue 2/2020
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-020-01064-5

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