Vasopressin Bolus Protocol Compared to Desmopressin (DDAVP) for Managing Acute, Postoperative Central Diabetes Insipidus and Hypovolemic Shock
المؤلفون المشاركون
Newey, C. R.
Nattanmai, Premkumar
Bell, Robert
McCormick, Ashley
Shukla, Anukrati
Alqadri, Syeda
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-01-03
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Introduction.
Management of postoperative central diabetes insipidus (DI) can be challenging from changes in volume status and serum sodium levels.
We report a case successfully using a dilute vasopressin bolus protocol in managing hypovolemic shock in acute, postoperative, central DI.
Case Report.
Patient presented after bifrontal decompressive craniotomy for severe traumatic brain injury.
He developed increased urine output resulting in hypovolemia and hypernatremia.
He was resuscitated with intravenous fluids including a dilute vasopressin bolus protocol.
This protocol consisted of 1 unit of vasopressin in 1 liter of 0.45% normal saline.
This protocol was given in boluses based on the formula: urine output minus one hundred.
Initial serum sodium was 148 mmol/L, and one-hour urine output was 1 liter.
After 48 hours, he transitioned to 1-desamino-8-D-arginine vasopressin (DDAVP).
Pre-DDAVP serum sodium was 149 mmol/L and one-hour urine output 320 cc.
Comparing the bolus protocol to the DDAVP protocol, the average sodium was 143.8 ± 3.2 and 149.6 ± 3.2 mmol/L (p=0.0001), average urine output was 433.2 ± 354.4 and 422.3 ± 276.0 cc/hr (p=0.90), and average specific gravity was 1.019 ± 0.009 and 1.016 ± 0.01 (p=0.42), respectively.
Conclusion.
A protocol using dilute vasopressin bolus can be an alternative for managing acute, central DI postoperatively, particularly in setting of hypovolemic shock resulting in a consistent control of serum sodium.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Shukla, Anukrati& Alqadri, Syeda& McCormick, Ashley& Bell, Robert& Nattanmai, Premkumar& Newey, C. R.. 2017. Vasopressin Bolus Protocol Compared to Desmopressin (DDAVP) for Managing Acute, Postoperative Central Diabetes Insipidus and Hypovolemic Shock. Case Reports in Endocrinology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145070
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Shukla, Anukrati…[et al.]. Vasopressin Bolus Protocol Compared to Desmopressin (DDAVP) for Managing Acute, Postoperative Central Diabetes Insipidus and Hypovolemic Shock. Case Reports in Endocrinology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1145070
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Shukla, Anukrati& Alqadri, Syeda& McCormick, Ashley& Bell, Robert& Nattanmai, Premkumar& Newey, C. R.. Vasopressin Bolus Protocol Compared to Desmopressin (DDAVP) for Managing Acute, Postoperative Central Diabetes Insipidus and Hypovolemic Shock. Case Reports in Endocrinology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145070
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1145070
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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