![](/images/graphics-bg.png)
Increased Intracranial Pressure during Hemodialysis in a Patient with Anoxic Brain Injury
المؤلفون المشاركون
Lund, Anton
Damholt, Mette B.
Strange, Ditte G.
Kelsen, Jesper
Møller-Sørensen, Hasse
Møller, Kirsten
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-03-20
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Dialysis disequilibrium syndrome (DDS) is a serious neurological complication of hemodialysis, and patients with acute brain injury are at increased risk.
We report a case of DDS leading to intracranial hypertension in a patient with anoxic brain injury and discuss the subsequent dialysis strategy.
A 13-year-old girl was admitted after prolonged resuscitation from cardiac arrest.
Computed tomography (CT) revealed an inferior vena cava aneurysm and multiple pulmonary emboli as the likely cause.
An intracranial pressure (ICP) monitor was inserted, and, on day 3, continuous renal replacement therapy (CRRT) was initiated due to acute kidney injury, during which the patient developed severe intracranial hypertension.
CT of the brain showed diffuse cerebral edema.
CRRT was discontinued, sedation was increased, and hypertonic saline was administered, upon which ICP normalized.
Due to persistent hyperkalemia and overhydration, ultrafiltration and intermittent hemodialysis were performed separately on day 4 with a small dialyzer, low blood and dialysate flow, and high dialysate sodium content.
During subsequent treatments, isolated ultrafiltration was well tolerated, whereas hemodialysis was associated with increased ICP necessitating frequent pauses or early cessation of dialysis.
In patients at risk of DDS, hemodialysis should be performed with utmost care and continuous monitoring of ICP should be considered.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Lund, Anton& Damholt, Mette B.& Strange, Ditte G.& Kelsen, Jesper& Møller-Sørensen, Hasse& Møller, Kirsten. 2017. Increased Intracranial Pressure during Hemodialysis in a Patient with Anoxic Brain Injury. Case Reports in Critical Care،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144384
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Lund, Anton…[et al.]. Increased Intracranial Pressure during Hemodialysis in a Patient with Anoxic Brain Injury. Case Reports in Critical Care No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1144384
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Lund, Anton& Damholt, Mette B.& Strange, Ditte G.& Kelsen, Jesper& Møller-Sørensen, Hasse& Møller, Kirsten. Increased Intracranial Pressure during Hemodialysis in a Patient with Anoxic Brain Injury. Case Reports in Critical Care. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1144384
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1144384
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
![](/images/ebook-kashef.png)
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
![](/images/kashef-image.png)