Diagnosis and treatment of brain injury complicated by hypernatremia

Front Neurol. 2022 Nov 28:13:1026540. doi: 10.3389/fneur.2022.1026540. eCollection 2022.

Abstract

Hypernatremia is a common electrolyte disorder in patients with brain injury. The mortality of brain injury patients with severe hypernatremia may be as high as 86.8%. The efficacy of conventional treatment for hypernatremia is limited. Continuous renal replacement therapy (CRRT) can slowly, controllably, and continuously reduce the blood sodium concentration and gradually become an important treatment for severe hypernatremia patients. This review aims to provide important information for clinicians and clinical researchers by describing the etiology, diagnosis, hazards, conventional treatment, and CRRT treatment of hypernatremia in patients with traumatic brain injury.

Keywords: continuous renal replacement therapy; conventional treatment; hypernatremia; reduction rate of serum sodium; traumatic brain injury.

Publication types

  • Review