0
Critical Care: Critical Care in the ICU |

Protocol for Administration of Hypertonic Saline in Medical Intensive Care Patients With Severe Stroke

Robert Stewart, MD; Shekhar Ghamande, MD; Heath White; Jennifer Rasmussen, MD; Leigh Allen
Author and Funding Information

Baylor Scott & White, Temple, TX


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):230A. doi:10.1016/j.chest.2016.08.243
Text Size: A A A
Published online

Extract

SESSION TITLE: Critical Care in the ICU

SESSION TYPE: Original Investigation Poster Discussion

PRESENTED ON: Monday, October 24, 2016 at 12:00 PM - 01:30 PM

PURPOSE: While the primary injury from an acute ischemic stroke can be devastating, it is the secondary cerebral injury that is often fatal. This primarily occurs secondary to neurogenic brain edema from loss of the Na/K ATPase function on the cellular membrane resulting in swelling.1 . The mortality reported from malignant MCA strokes can range from 70-80% with medical management.2 In some cases elective hemicraniectomy can provide a survival benefit and decrease morbidity at one year compared to medical management.3,4,5,6,7 Osmotherapy represents an alternative and in some cases a temporizing medical therapy. 8 The aim of our study is to assess the effectiveness of a recent protocol derived for administration of hypertonic saline in our medical ICU for patients with large ischemic strokes

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543