علاج الوذمة الدماغية في النزيف داخل المخ مع ارتفاع الضغط داخل القحف

References

DOI: 10.1007/s12028-020-00959-7

1. We suggest using hypertonic sodium solutions over mannitol for the management of ICP or cerebral edema in patients with intracerebral hemorrhage (conditional recommendation, very low-quality evidence).
2. We suggest that either symptom-based bolus dosing or using a targeted sodium concentration is appropriate hypertonic sodium solution administration strategy for the management of elevated ICP or cerebral edema in patients with intracerebral hemorrhage (conditional recommendation, very low-quality evidence).
3. While the overall quality of evidence in this area is very low, the panel felt there was enough consistency across published studies to suggest that HTS is effective in reducing ICP elevations and cerebral edema.