Table 15.20 Urea for the Acute Management of Intracranial Pressure Post ABI
Author Year Country Research Design PEDro Sample Size |
Methods |
Outcome |
Annoni et al. (2017) Belgium Case Series N=40 |
Population: ABI; Median Age=53 yr, Gender: Male=21, Female=19; Median GCS Score=9 Intervention: Records of patients who had ABI, received enteral urea because of hyponatremia, and had elevated ICP were reviewed. Outcome Measures: Intracranial Pressure (ICP), Sodium (mEq/L). |
1. After the first urea dose (15 g), median ICP decreased from 14 mmHg to 11 mmHg (p<0.001). 2. Sodium levels increased significantly over the study period from 133 mEq/L to 141 mEq/L (p<0.05). 3. Body temperature, blood pressure and PaCO2 all remained steady during the 12hr study period. |