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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1996-1-16
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pubmed:abstractText |
Mannitol has replaced other diuretics as the agent of first choice for control of raised intracranial pressure (ICP) after brain injury. Mannitol should be given as a bolus intravenous infusion, over 10 to 30 mins, in doses ranging from 0.25 to 1.0 g/kg body weight. It may be given when high ICP is suspected, prior to computed tomography scanning, e.g., in patients who develop a fixed, dilated pupil or neurologic deterioration. This agent may also be used pre- or intraoperatively in patients with intracranial hematomas, and when high ICP is demonstrated in the ICU. It is more effective and safer when administered in bolus doses than as a continuous infusion. Mannitol may be safely used during the early resuscitation phase in hypovolemic patients with concomitant head injury, provided that plasma expanders and/or crystalloid solutions are given to correct the hypovolemia simultaneously. A Foley catheter should always be inserted when mannitol is used. Serum osmolality should be measured frequently after mannitol and maintained < 320 mOsm to avoid renal failure. Its beneficial effects and the rationale for its use are also reviewed.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
|
pubmed:issn |
1063-7389
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
3
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
448-52
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:7496753-Brain Injuries,
pubmed-meshheading:7496753-Cerebrovascular Circulation,
pubmed-meshheading:7496753-Diuretics, Osmotic,
pubmed-meshheading:7496753-Hemodynamics,
pubmed-meshheading:7496753-Humans,
pubmed-meshheading:7496753-Intracranial Pressure,
pubmed-meshheading:7496753-Mannitol,
pubmed-meshheading:7496753-Resuscitation
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pubmed:year |
1995
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pubmed:articleTitle |
Mannitol and other diuretics in severe neurotrauma.
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pubmed:affiliation |
Medical College of Virginia/Virginia Commonwealth University, Richmond, USA.
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pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
|