Hyperosmolar therapies for neurological deterioration in mild and moderate traumatic brain injury: towards new research

ABSTRACT

The scoping review by Nicolò Marchesini and colleagues about the use of hyperosmolar therapies (HTs) in patients with traumatic brain injury (TBI) points out a significant gap in scientific literature regarding this topic. Although there are few high-quality recommendations, it is important to provide care under certain physiologic parameters. Through this letter we comment on the importance of guidelines to administer and monitor the use of HTs in the Neuro-ICU.

KEYWORDS:

• Hyperosmolar
• traumatic brain injury
• critical care
• hypertonic saline
• mannitol
• acute kidney injury