The Experts below are selected from a list of 270 Experts worldwide ranked by ideXlab platform
John A Ulatowski - One of the best experts on this subject based on the ideXlab platform.
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use of hypertonic 3 saline acetate infusion in the treatment of cerebral Edema effect on intracranial pressure and lateral displacement of the brain
Critical Care Medicine, 1998Co-Authors: Adnan I Qureshi, Jose I Suarez, Anish Bhardwaj, Marek A Mirski, Mark S Schnitzer, Daniel F Hanley, John A UlatowskiAbstract:Objective To determine the effect of continuous hypertonic (3%) saline/acetate infusion on intracranial pressure (ICP) and lateral displacement of the brain in patients with cerebral Edema. Design Retrospective chart review. Settings Neurocritical care unit of a university hospital. Patients Twenty-seven consecutive patients with cerebral Edema (30 episodes), including patients with head trauma (n = 8), Postoperative Edema (n = 5), nontraumatic intracranial hemorrhage (n = 8), and cerebral infarction (n = 6). Intervention Intravenous infusion of 3% saline/acetate to increase serum sodium concentrations to 145 to 155 mmol/L. Measurements and main results A reduction in mean ICP within the first 12 hrs correlating with an increase in the serum sodium concentration was observed in patients with head trauma (r2 = .91, p = .03), and Postoperative Edema (r2 = .82, p = .06), but not in patients with nontraumatic intracranial hemorrhage or cerebral infarction. In patients with head trauma, the beneficial effect of hypertonic saline on ICP was short-lasting, and after 72 hrs of infusion, four patients required intravenous pentobarbital due to poor ICP control. Among the 21 patients who had a repeat computed tomographic scan within 72 hrs of initiating hypertonic saline, lateral displacement of the brain was reduced in patients with head trauma (2.8 +/- 1.4 to 1.1 +/- 0.9 [SEM]) and in patients with Postoperative Edema (3.1 +/- 1.6 to 1.1 +/- 0.7). This effect was not observed in patients with nontraumatic intracranial bleeding or cerebral infarction. The treatment was terminated in three patients due to the development of pulmonary Edema, and was terminated in another three patients due to development of diabetes insipidus. Conclusions Hypertonic saline administration as a 3% infusion appears to be a promising therapy for cerebral Edema in patients with head trauma or Postoperative Edema. Further studies are required to determine the optimal duration of benefit and the specific patient population that is most likely to benefit from this treatment.
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Use of hypertonic (3%) saline/acetate infusion in the treatment of cerebral Edema: Effect on intracranial pressure and lateral displacement of the brain.
Critical Care Medicine, 1998Co-Authors: Adnan I Qureshi, Jose I Suarez, Anish Bhardwaj, Marek A Mirski, Mark S Schnitzer, Daniel F Hanley, John A UlatowskiAbstract:Objective To determine the effect of continuous hypertonic (3%) saline/acetate infusion on intracranial pressure (ICP) and lateral displacement of the brain in patients with cerebral Edema. Design Retrospective chart review. Settings Neurocritical care unit of a university hospital. Patients Twenty-seven consecutive patients with cerebral Edema (30 episodes), including patients with head trauma (n = 8), Postoperative Edema (n = 5), nontraumatic intracranial hemorrhage (n = 8), and cerebral infarction (n = 6). Intervention Intravenous infusion of 3% saline/acetate to increase serum sodium concentrations to 145 to 155 mmol/L. Measurements and main results A reduction in mean ICP within the first 12 hrs correlating with an increase in the serum sodium concentration was observed in patients with head trauma (r2 = .91, p = .03), and Postoperative Edema (r2 = .82, p = .06), but not in patients with nontraumatic intracranial hemorrhage or cerebral infarction. In patients with head trauma, the beneficial effect of hypertonic saline on ICP was short-lasting, and after 72 hrs of infusion, four patients required intravenous pentobarbital due to poor ICP control. Among the 21 patients who had a repeat computed tomographic scan within 72 hrs of initiating hypertonic saline, lateral displacement of the brain was reduced in patients with head trauma (2.8 +/- 1.4 to 1.1 +/- 0.9 [SEM]) and in patients with Postoperative Edema (3.1 +/- 1.6 to 1.1 +/- 0.7). This effect was not observed in patients with nontraumatic intracranial bleeding or cerebral infarction. The treatment was terminated in three patients due to the development of pulmonary Edema, and was terminated in another three patients due to development of diabetes insipidus. Conclusions Hypertonic saline administration as a 3% infusion appears to be a promising therapy for cerebral Edema in patients with head trauma or Postoperative Edema. Further studies are required to determine the optimal duration of benefit and the specific patient population that is most likely to benefit from this treatment.
Krishna G Patel - One of the best experts on this subject based on the ideXlab platform.
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interventions to decrease Postoperative Edema and ecchymosis after rhinoplasty a systematic review of the literature
Plastic and Reconstructive Surgery, 2016Co-Authors: Zachary Farhood, Andrew R Kyle, Krishna G PatelAbstract:Today, minimally invasive procedures are becoming more popular because of the fast recovery. Rhinoplasty is a common facial plastic surgery procedure that can be associated with significant Postoperative morbidities, especially periorbital Edema and ecchymosis. The aim of this review is to summarize the results of published literature that studied interventions that decrease Postoperative Edema and ecchymosis after rhinoplasty, and provide evidence-based strategies for surgeons to incorporate into practice. A systematic review of the PubMed, Scopus, and EMBASE databases was performed to investigate interventions studied to decrease Postoperative Edema and ecchymosis after rhinoplasty. After inclusion and exclusion criteria were applied, articles were grouped into one of the following categories: corticosteroids, other medications and herbal supplements, interventions to decrease intraoperative bleeding, other Postoperative interventions, and surgical techniques. A total of 50 articles were included for review. Fourteen articles studied corticosteroids exclusively, whereas another 10 articles reviewed other medications and herbal supplements. Nine articles evaluated methods to decrease intraoperative bleeding during rhinoplasty, and four articles studied Postoperative interventions to decrease Edema and ecchymosis. Thirteen articles studied various surgical techniques to decrease Postoperative morbidities. There was a consensus within the literature that steroids, intraoperative hypotension, intraoperative cooling, and head elevation Postoperatively decrease Postoperative Edema and ecchymosis, whereas nasal packing and periosteal elevation before osteotomy increased these Postoperative morbidities. Studies of herbal supplements may be incorporated into practice with minimal risk to the patient. More studies must be performed before recommending an external or internal approach to lateral osteotomy.
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Interventions to Decrease Postoperative Edema and Ecchymosis after Rhinoplasty: A Systematic Review of the Literature.
Plastic and Reconstructive Surgery, 2016Co-Authors: Adrian A. Ong, Zachary Farhood, Andrew R Kyle, Krishna G PatelAbstract:Today, minimally invasive procedures are becoming more popular because of the fast recovery. Rhinoplasty is a common facial plastic surgery procedure that can be associated with significant Postoperative morbidities, especially periorbital Edema and ecchymosis. The aim of this review is to summarize the results of published literature that studied interventions that decrease Postoperative Edema and ecchymosis after rhinoplasty, and provide evidence-based strategies for surgeons to incorporate into practice. A systematic review of the PubMed, Scopus, and EMBASE databases was performed to investigate interventions studied to decrease Postoperative Edema and ecchymosis after rhinoplasty. After inclusion and exclusion criteria were applied, articles were grouped into one of the following categories: corticosteroids, other medications and herbal supplements, interventions to decrease intraoperative bleeding, other Postoperative interventions, and surgical techniques. A total of 50 articles were included for review. Fourteen articles studied corticosteroids exclusively, whereas another 10 articles reviewed other medications and herbal supplements. Nine articles evaluated methods to decrease intraoperative bleeding during rhinoplasty, and four articles studied Postoperative interventions to decrease Edema and ecchymosis. Thirteen articles studied various surgical techniques to decrease Postoperative morbidities. There was a consensus within the literature that steroids, intraoperative hypotension, intraoperative cooling, and head elevation Postoperatively decrease Postoperative Edema and ecchymosis, whereas nasal packing and periosteal elevation before osteotomy increased these Postoperative morbidities. Studies of herbal supplements may be incorporated into practice with minimal risk to the patient. More studies must be performed before recommending an external or internal approach to lateral osteotomy.
Adnan I Qureshi - One of the best experts on this subject based on the ideXlab platform.
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use of hypertonic 3 saline acetate infusion in the treatment of cerebral Edema effect on intracranial pressure and lateral displacement of the brain
Critical Care Medicine, 1998Co-Authors: Adnan I Qureshi, Jose I Suarez, Anish Bhardwaj, Marek A Mirski, Mark S Schnitzer, Daniel F Hanley, John A UlatowskiAbstract:Objective To determine the effect of continuous hypertonic (3%) saline/acetate infusion on intracranial pressure (ICP) and lateral displacement of the brain in patients with cerebral Edema. Design Retrospective chart review. Settings Neurocritical care unit of a university hospital. Patients Twenty-seven consecutive patients with cerebral Edema (30 episodes), including patients with head trauma (n = 8), Postoperative Edema (n = 5), nontraumatic intracranial hemorrhage (n = 8), and cerebral infarction (n = 6). Intervention Intravenous infusion of 3% saline/acetate to increase serum sodium concentrations to 145 to 155 mmol/L. Measurements and main results A reduction in mean ICP within the first 12 hrs correlating with an increase in the serum sodium concentration was observed in patients with head trauma (r2 = .91, p = .03), and Postoperative Edema (r2 = .82, p = .06), but not in patients with nontraumatic intracranial hemorrhage or cerebral infarction. In patients with head trauma, the beneficial effect of hypertonic saline on ICP was short-lasting, and after 72 hrs of infusion, four patients required intravenous pentobarbital due to poor ICP control. Among the 21 patients who had a repeat computed tomographic scan within 72 hrs of initiating hypertonic saline, lateral displacement of the brain was reduced in patients with head trauma (2.8 +/- 1.4 to 1.1 +/- 0.9 [SEM]) and in patients with Postoperative Edema (3.1 +/- 1.6 to 1.1 +/- 0.7). This effect was not observed in patients with nontraumatic intracranial bleeding or cerebral infarction. The treatment was terminated in three patients due to the development of pulmonary Edema, and was terminated in another three patients due to development of diabetes insipidus. Conclusions Hypertonic saline administration as a 3% infusion appears to be a promising therapy for cerebral Edema in patients with head trauma or Postoperative Edema. Further studies are required to determine the optimal duration of benefit and the specific patient population that is most likely to benefit from this treatment.
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Use of hypertonic (3%) saline/acetate infusion in the treatment of cerebral Edema: Effect on intracranial pressure and lateral displacement of the brain.
Critical Care Medicine, 1998Co-Authors: Adnan I Qureshi, Jose I Suarez, Anish Bhardwaj, Marek A Mirski, Mark S Schnitzer, Daniel F Hanley, John A UlatowskiAbstract:Objective To determine the effect of continuous hypertonic (3%) saline/acetate infusion on intracranial pressure (ICP) and lateral displacement of the brain in patients with cerebral Edema. Design Retrospective chart review. Settings Neurocritical care unit of a university hospital. Patients Twenty-seven consecutive patients with cerebral Edema (30 episodes), including patients with head trauma (n = 8), Postoperative Edema (n = 5), nontraumatic intracranial hemorrhage (n = 8), and cerebral infarction (n = 6). Intervention Intravenous infusion of 3% saline/acetate to increase serum sodium concentrations to 145 to 155 mmol/L. Measurements and main results A reduction in mean ICP within the first 12 hrs correlating with an increase in the serum sodium concentration was observed in patients with head trauma (r2 = .91, p = .03), and Postoperative Edema (r2 = .82, p = .06), but not in patients with nontraumatic intracranial hemorrhage or cerebral infarction. In patients with head trauma, the beneficial effect of hypertonic saline on ICP was short-lasting, and after 72 hrs of infusion, four patients required intravenous pentobarbital due to poor ICP control. Among the 21 patients who had a repeat computed tomographic scan within 72 hrs of initiating hypertonic saline, lateral displacement of the brain was reduced in patients with head trauma (2.8 +/- 1.4 to 1.1 +/- 0.9 [SEM]) and in patients with Postoperative Edema (3.1 +/- 1.6 to 1.1 +/- 0.7). This effect was not observed in patients with nontraumatic intracranial bleeding or cerebral infarction. The treatment was terminated in three patients due to the development of pulmonary Edema, and was terminated in another three patients due to development of diabetes insipidus. Conclusions Hypertonic saline administration as a 3% infusion appears to be a promising therapy for cerebral Edema in patients with head trauma or Postoperative Edema. Further studies are required to determine the optimal duration of benefit and the specific patient population that is most likely to benefit from this treatment.
Hakan Soken - One of the best experts on this subject based on the ideXlab platform.
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Open Versus Closed Septorhinoplasty Approaches for Postoperative Edema and Ecchymosis.
Journal of Craniofacial Surgery, 2015Co-Authors: Oner Sakallioglu, Abdulvahap Akyigit, Erkan Soylu, Cahit Polat, Cemal Cingi, Hakan SokenAbstract:The aim of this study was to compare periorbital Edema and ecchymosis seen after closed (endonasal) and open (external) septorhinoplasty (SRP). In total, 50 patients undergoing hump extraction and osteotomies were allocated to 2 groups. Group 1 consisted of 25 patients who underwent closed SRP. Group 2 consisted of 25 patients who underwent open SRP. Operation time, amount of intraoperative bleeding, and complications were recorded. Scoring of eyelid Edema and periorbital ecchymosis was evaluated on the first, third, and seventh Postoperative days using a scale of 0 to 4 by the first author. There was no statistically significant difference between the groups in terms of age, sex, or operation time. No significant difference was observed clinically or statistically in the scores of periorbital Edema or ecchymosis between groups 1 and 2 on the first, third, and seventh Postoperative days (P > 0.05). The authors observed no clinically or statistically significant difference in comparing periorbital Edema and ecchymosis seen after closed and open SRP.
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Open Versus Closed Septorhinoplasty Approaches for Postoperative Edema and Ecchymosis.
Journal of Craniofacial Surgery, 2015Co-Authors: Oner Sakallioglu, Abdulvahap Akyigit, Erkan Soylu, Cahit Polat, Cemal Cingi, Hakan SokenAbstract:Objective:The aim of this study was to compare periorbital Edema and ecchymosis seen after closed (endonasal) and open (external) septorhinoplasty (SRP).Methods:In total, 50 patients undergoing hump extraction and osteotomies were allocated to 2 groups. Group 1 consisted of 25 patients who underwent
Zachary Farhood - One of the best experts on this subject based on the ideXlab platform.
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interventions to decrease Postoperative Edema and ecchymosis after rhinoplasty a systematic review of the literature
Plastic and Reconstructive Surgery, 2016Co-Authors: Zachary Farhood, Andrew R Kyle, Krishna G PatelAbstract:Today, minimally invasive procedures are becoming more popular because of the fast recovery. Rhinoplasty is a common facial plastic surgery procedure that can be associated with significant Postoperative morbidities, especially periorbital Edema and ecchymosis. The aim of this review is to summarize the results of published literature that studied interventions that decrease Postoperative Edema and ecchymosis after rhinoplasty, and provide evidence-based strategies for surgeons to incorporate into practice. A systematic review of the PubMed, Scopus, and EMBASE databases was performed to investigate interventions studied to decrease Postoperative Edema and ecchymosis after rhinoplasty. After inclusion and exclusion criteria were applied, articles were grouped into one of the following categories: corticosteroids, other medications and herbal supplements, interventions to decrease intraoperative bleeding, other Postoperative interventions, and surgical techniques. A total of 50 articles were included for review. Fourteen articles studied corticosteroids exclusively, whereas another 10 articles reviewed other medications and herbal supplements. Nine articles evaluated methods to decrease intraoperative bleeding during rhinoplasty, and four articles studied Postoperative interventions to decrease Edema and ecchymosis. Thirteen articles studied various surgical techniques to decrease Postoperative morbidities. There was a consensus within the literature that steroids, intraoperative hypotension, intraoperative cooling, and head elevation Postoperatively decrease Postoperative Edema and ecchymosis, whereas nasal packing and periosteal elevation before osteotomy increased these Postoperative morbidities. Studies of herbal supplements may be incorporated into practice with minimal risk to the patient. More studies must be performed before recommending an external or internal approach to lateral osteotomy.
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Interventions to Decrease Postoperative Edema and Ecchymosis after Rhinoplasty: A Systematic Review of the Literature.
Plastic and Reconstructive Surgery, 2016Co-Authors: Adrian A. Ong, Zachary Farhood, Andrew R Kyle, Krishna G PatelAbstract:Today, minimally invasive procedures are becoming more popular because of the fast recovery. Rhinoplasty is a common facial plastic surgery procedure that can be associated with significant Postoperative morbidities, especially periorbital Edema and ecchymosis. The aim of this review is to summarize the results of published literature that studied interventions that decrease Postoperative Edema and ecchymosis after rhinoplasty, and provide evidence-based strategies for surgeons to incorporate into practice. A systematic review of the PubMed, Scopus, and EMBASE databases was performed to investigate interventions studied to decrease Postoperative Edema and ecchymosis after rhinoplasty. After inclusion and exclusion criteria were applied, articles were grouped into one of the following categories: corticosteroids, other medications and herbal supplements, interventions to decrease intraoperative bleeding, other Postoperative interventions, and surgical techniques. A total of 50 articles were included for review. Fourteen articles studied corticosteroids exclusively, whereas another 10 articles reviewed other medications and herbal supplements. Nine articles evaluated methods to decrease intraoperative bleeding during rhinoplasty, and four articles studied Postoperative interventions to decrease Edema and ecchymosis. Thirteen articles studied various surgical techniques to decrease Postoperative morbidities. There was a consensus within the literature that steroids, intraoperative hypotension, intraoperative cooling, and head elevation Postoperatively decrease Postoperative Edema and ecchymosis, whereas nasal packing and periosteal elevation before osteotomy increased these Postoperative morbidities. Studies of herbal supplements may be incorporated into practice with minimal risk to the patient. More studies must be performed before recommending an external or internal approach to lateral osteotomy.
