ARDS in the brain-injured patient: what’s different?

2016 ◽  
Vol 42 (5) ◽  
pp. 790-793 ◽  
Author(s):  
Mauro Oddo ◽  
Giuseppe Citerio
Author(s):  
Michelle Steenbakkers ◽  
Nicole Hooper ◽  
Danielle Gardner ◽  
Suzanne Wickum ◽  
Kia Eldred

1976 ◽  
Vol 45 (4) ◽  
pp. 432-436 ◽  
Author(s):  
Henry A. Shenkin ◽  
Honorio S. Bezier ◽  
William F. Bouzarth

✓ Water balance studies in postcraniotomy patients indicate that restriction of fluid intake to 1 liter daily maintains the patient in homeostatic balance. A larger fluid intake will expand the extracellular space and presumably unfavorably influence cerebral edema. Daily observation of serum sodium and osmolarity and blood urea nitrogen, and preserving their normalcy, is a rational way of regulating fluid intake of the brain-injured patient. Fluid restriction should be used with caution if hyperosmolar agents, diuretics, or dexamethasone are also administered.


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