Intracranial pressure changes during continuous renal replacement therapy in acute period of severe traumatic brain injury-Reference-Cited by-同舟云学术

Intracranial pressure changes during continuous renal replacement therapy in acute period of severe traumatic brain injury

Published:2023-05-15 Issue:2 Volume:20 Page:36-43
ISSN:2541-8653
Container-title:Messenger of ANESTHESIOLOGY AND RESUSCITATION
language:
Short-container-title:Vestn. anesteziol. reanimatol.

Author:

Polupan A. A.¹^ORCID,Birg T. M.²^ORCID,Oshorov A. V.²^ORCID,Pashin A. A.²^ORCID,Latyshev Ya. A.²^ORCID,Savin I. A.²^ORCID

Affiliation:

1. National Medical Research Center for Neurosurgery named after Academician N. N. Burdenko; Lomonosov Moscow State University

2. National Medical Research Center for Neurosurgery named after Academician N. N. Burdenko

Abstract

The objective was to study the effect of continuous renal replacement therapy (CRRT) in the acute period of traumatic brain injury (TBI) on intracranial pressure (ICP). Materials and methods. An analysis of the dynamics of ICP during CRRT in patients with severe TBI was performed. The division of procedures into three groups, depending on the variant of ICP change, allowed to perform a comparative analysis of a number of factors that were potential predictors of aggravation of intracranial hypertension. Results. During CRRT, ICP decreased in 39 % of cases (Group 1) and increased in 29 % of cases (Group 2). In 32 % of cases (Group 3), ICP did not change significantly during the procedure. The initial sodium level and the degree of sodium decrease during the first 6 hours of the procedurediffered between the groups, which turned out to be significantly higher in the group 2. An inverse correlation was found between the change in sodium level during the first 6 hours of the procedure and the change in ICP. Conclusions. CRRT in the acute period of severe TBI can be associated with both a decrease and increase of ICP. The main risk factor for worsening intracranial hypertension during CRRT is hypernatremia.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine,Emergency Medicine

Reference12 articles.

1. Davenport A. Renal replacement therapy in the patient with acute brain injury // Am J Kidney Dis. – 2001. – Vol. 37, № 3. – P. 457–466. PMID: 11228168.

2. Fletcher J. J., Bergman K., Carlson G. et al. Continuous renal replacement therapy for refractory intracranial hypertension? // J Trauma. – 2010. – Vol. 6, № 6. – P. 1506–9. doi: 10.1097/TA.0b013e3181dbbf1b.

3. Fletcher J. J., Bergman K., Feucht E. C. et al. Continuous renal replacement therapy for refractory intracranial hypertension // Neurocrit Care. – 2009. – Vol. 11, № 1. – P. 101–105. doi: 10.1007/s12028-009-9197-9.

4. Freeman W. D., Wadei H. M. A brain-kidney connection: the delicate interplay of brain and kidney physiology // Neurocrit Care. – 2015. – Vol. 22, № 2. – P. 173–5. doi: 10.1007/s12028-015-0119-8.

5. Fülöp T., Zsom L., Rodríguez R. D. et al. Therapeutic hypernatremia management during continuous renal replacement therapy with elevated intracranial pressures and respiratory failure // Rev Endocr Metab Disord. – 2019. – Vol. 20, № 1. – P. 65–75. doi: 10.1007/s11154-019-09483-2.

Cited by 1 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Diagnostics and prediction of intracranial hypertension on primary computed tomography in patients with severe traumatic brain injury;Messenger of ANESTHESIOLOGY AND RESUSCITATION;2023-10-24