Document Detail


Oral glycerol for the treatment of traumatic intracranial hypertension.
MedLine Citation:
PMID:  7057229     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hyperosmolar agents are a primary therapeutic modality employed in the treatment of traumatic intracranial hypertension. Profound hyperosmolarity accompanied by systemic dehydration is a potentially serious problem when these drugs are used repeatedly for control of intracranial pressure. Because glycerol, a water-soluble alcohol, is metabolized in the liver, its dehydrating capacity may be reduced in comparison to other agents. A series of 15 patients were treated with oral glycerol (0.5 to 1.0 gm/kg) with only minor changes in serum electrolytes, glucose, and urea nitrogen. Serum osmolarity rose from a baseline of 305 mOsm/liter to 355 mOsm/liter after 10 days of therapy. Glycerol was found to be effective and safe when employed in this protocol and proved to be a valuable adjunct to the standard methods available for control of intracranial hypertension.
Authors:
S L Wald; R L McLaurin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  56     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1982 Mar 
Date Detail:
Created Date:  1982-04-20     Completed Date:  1982-04-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  323-31     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Adolescent
Adult
Child
Child, Preschool
Craniocerebral Trauma / blood,  complications
Electrolytes / blood
Female
Glycerol / administration & dosage,  adverse effects,  blood,  therapeutic use*
Humans
Intracranial Pressure / drug effects*
Male
Pseudotumor Cerebri / drug therapy*,  etiology
Time Factors
Chemical
Reg. No./Substance:
0/Electrolytes; 56-81-5/Glycerol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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