We also use 3% saline routinely (5 cc/kg) and give it over 15 minutes (push if needed).
Robert Vezzetti, MD, FAAP, FACEP
Pediatric Emergency Medicine
Dell Children's Medical Center of Central Texas
Sent from my iPad
On Feb 21, 2013, at 10:57 AM, Michael Falk <[log in to unmask]> wrote:
> Can I check with folks and see what your "standard of care" is for mannitol
> in traumatic brain injury? I have been running my EM residents through a
> sim case of a 6 mo shaken baby and one of them was VERY emphatic that the
> Cochrane review showed increased mortality and/or no effect if mannitol is
> used ( I know that the evidence is terrible for it's uses but this was the
> first time I had heard that). I red the summary and am pretty sure that
> the Cochrane review doesn't say this...but just wanted to see if I am way
> off the mark!
> Second question: who is routinely using hypertonic saline instead of
> Mannitol? It was interesting to note that in one of the randomized studies
> showed higher mortality with Mannitol vs hypertonic saline....thoughts?
> Mike Falk, MD
> St Luke's/Roosevelt Hospital
> New York, NY.
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