Skip to main content

Fluid and Electrolyte Management in Neurosurgical Critical Care

  • Chapter
  • First Online:
Essentials of Neurosurgical Anesthesia & Critical Care

Abstract

Imbalance and dysregulation of the fluid and electrolyte homeostasis are common and of great concern in patients after insults to the central nervous system. Disturbances may occur as a part of the disease process or they may be iatrogenic. The consequences of fluid and electrolyte derangements are frequently life-threatening and may determine outcome, particularly if unrecognized or persistently severe.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Alfonzo AV, Isles C, Geddes C, Deighan C. Potassium disorders – clinical spectrum and emergency management. Resuscitation. 2006;70(1):10–25.

    Article  Google Scholar 

  • Ellison DH, Berl T. Clinical practice. The syndrome of inappropriate antidiuresis. N Engl J Med. 2007;356(20):2064–72.

    Article  CAS  Google Scholar 

  • Fraser JF, Stieg PE. Hyponatremia in the neurosurgical patient: epidemiology, pathophysiology, diagnosis, and management. Neurosurgery. 2006;59(2):222–9; discussion 222–229

    Article  Google Scholar 

  • Investigators SS, Australian, New Zealand Intensive Care Society Clinical Trials G, Australian Red Cross Blood S, George Institute for International H, Myburgh J, Cooper DJ, Finfer S, Bellomo R, Norton R, et al. Saline or albumin for fluid resuscitation in patients with traumatic brain injury. N Engl J Med. 2007;357(9):874–84.

    Article  Google Scholar 

  • Kramer AH, Zygun DA. Anemia and red blood cell transfusion in neurocritical care. Crit Care. 2009;13(3):R89.

    Article  Google Scholar 

  • Moritz ML, Ayus JC. Maintenance intravenous fluids in acutely ill patients. N Engl J Med. 2015;373(14):1350–60.

    Article  Google Scholar 

  • Noronha JL, Matuschak GM. Magnesium in critical illness: metabolism, assessment, and treatment. Intensive Care Med. 2002;28(6):667–79.

    Article  Google Scholar 

  • Robertson CS, Hannay HJ, Yamal JM, Gopinath S, Goodman JC, Tilley BC, Epo Severe TBITI, Baldwin A, Rivera Lara L, Saucedo-Crespo H, et al. Effect of erythropoietin and transfusion threshold on neurological recovery after traumatic brain injury: a randomized clinical trial. JAMA. 2014;312(1):36–47.

    Article  Google Scholar 

  • Singh S, Bohn D, Carlotti AP, Cusimano M, Rutka JT, Halperin ML. Cerebral salt wasting: truths, fallacies, theories, and challenges. Crit Care Med. 2002;30(11):2575–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Bugedo, G., Vera, M.M. (2020). Fluid and Electrolyte Management in Neurosurgical Critical Care. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17410-1_90

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-17410-1_90

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-17408-8

  • Online ISBN: 978-3-030-17410-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics