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Hypertonic Saline

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Abstract

There are three main indications for the use of hypertonic saline in critical care including hyponatremia, volume resuscitation, and brain injury. Although the syndrome of inappropriate antidiuretic hormone secretion (SIADH) and cerebral salt wasting syndrome may require sodium replacement, most cases of hyponatremia can be managed without administration of hypertonic saline.

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Suggested Reading

  • Bourgouin PM, Chalk C, Richardson J, Duang H, Vezina JL. Subcortical white matter lesions in osmotic demyelination syndrome. AJNR Am J Neuroradiol. 1995;16(7):1495–7.

    CAS  PubMed  Google Scholar 

  • Brunner JE, Redmond JM, Haggar AM, Elias SB. Central pontine myelinolysis after rapid correction of hyponatremia: a magnetic resonance imaging study. Ann Neurol. 1988;23(4):389–91.

    Article  CAS  PubMed  Google Scholar 

  • Brunner JE, Redmond JM, Haggar AM, Kruger DF, Elias SB. Central pontine myelinolysis and pontine lesions after rapid correction of hyponatremia: a prospective magnetic resonance imaging study. Ann Neurol. 1990;27(1):61–6.

    Article  CAS  PubMed  Google Scholar 

  • Johnson AL, Criddle LM. Pass the salt: indications for and implications of using hypertonic saline. Crit Care Nurse. 2004;24(5):36–8, 40–4, 46 passim.

    PubMed  Google Scholar 

  • Singh TD, Fugate JE, Rabinstein AA. Central pontine and extrapontine myelinolysis: a systematic review. Eur J Neurol. 2014;21(12):1443–50.

    Google Scholar 

  • Martin RJ. Central pontine and extrapontine myelinolysis: the osmotic demyelination syndromes. J Neurol Neurosurg Psychiatry. 2004;75 Suppl 3:iii22-8.

    Google Scholar 

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Correspondence to Daniel Thomas Ginat MD, MS .

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© 2015 Springer International Publishing Switzerland

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Ginat, D.T. (2015). Hypertonic Saline. In: Ginat, D., Small, J., Schaefer, P. (eds) Neuroimaging Pharmacopoeia. Springer, Cham. https://doi.org/10.1007/978-3-319-12715-6_36

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  • DOI: https://doi.org/10.1007/978-3-319-12715-6_36

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-12714-9

  • Online ISBN: 978-3-319-12715-6

  • eBook Packages: MedicineMedicine (R0)

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