Hemodynamic Instability, Intracranial Pressure Increase, Water on the Brain
Conditions
Keywords
Brain edema, dehydration, Noninvasive optical method
Brief summary
This study aims to investigate the inner mechanism during different dehydration therapies such as mannitol injection and hypertonic saline. The investigators used a self-made near infrared spectroscopy (NIRS) instrument to monitor the physiological changes noninvasively including oxyhemoglobin (\[HbO2\]), deoxy-hemoglobin (\[Hb\]), the derived change in blood volume (\[tHb\]) and water concentration on the forehead of brain edema patients.
Detailed description
Cerebral edema, as an acute head injury along with high intracranial pressure, has been of great interest over decades in clinical neurosurgery research. Dehydration therapy is a common clinical method to decrease intracranial pressure. This study aims to investigate the inner mechanism during different dehydration therapies such as mannitol injection and hypertonic saline. The investigators used a self-made near infrared spectroscopy (NIRS) instrument to monitor the physiological changes noninvasively including oxyhemoglobin (\[HbO2\]), deoxy-hemoglobin (\[Hb\]), the derived change in blood volume (\[tHb\]) and water concentration on the forehead of brain edema patients. Then the investigators compared the changes process of multiple physiological parameters during different dehydration therapies.
Interventions
Standard mannitol injection to decrease intracranial pressure of patients
Standard Hypertonic saline injection to decrease intracranial pressure of patients
Sponsors
Study design
Eligibility
Inclusion criteria
• Patients who had brain edema and need dehydration therapy to decrease intracranial pressure.
Exclusion criteria
* AIDS, Active Hepatitis, Tuberculosis, Syphilis * Patients who regularly take anticoagulants, antiplatelet drugs * Anemia, thrombocytopenia * Hemorrhagic disease like hemophilia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Δ[HbO2] | 2 weeks | changes of oxyhemoglobin concentration |
| water concentration | 2 weeks | water concentration of brain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| intracranial pressure | 2 weeks | intracranial pressure |
| Δ[Hb] | 2 weeks | changes of deoxy-hemoglobin concentration |