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Effects of Hypertonic Sodium Lactate on Intracranial Pressure in Patients With Traumatic Brain Injury: A Systematic Review and Meta-Analysis on Clinical Trial Studies Publisher



Mosaed R1 ; Rezayat AA2 ; Rohani B3 ; Afin AA3 ; Najmeddin F1 ; Amini S1 ; Taghizadehghehi M4 ; Ardalan MA5 ; Najafi A6 ; Mojtahedzadeh M1
Authors
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Authors Affiliations
  1. 1. Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  3. 3. School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  4. 4. Research Center for Rational Use of Drugs, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Internal Medicine, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran
  6. 6. Department of Anesthesiology and Critical Care Medicine, School of Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Basic and Clinical Neuroscience Published:2024


Abstract

Introduction: Intracranial pressure (ICP) elevation leading to cerebral edema is a critical condition that should be identified and treated immediately. In this study, we systematically reviewed the articles investigating the role of hypertonic sodium lactate (HSL) in patients with traumatic brain injury (TBI). Methods: PubMed, Scopus, Embase, and Web of Science were searched to find published articles on the effects of HSL on ICP in patients with a TBI until December 2020. Animal studies, case reports, and studies, including patients with liver and renal failure, cardiac dysfunction, or hypovolemic shock, were excluded. The Newcastle-Ottawa scale checklist was used to assess the methodological quality of eligible articles. Information obtained was classified based on the following criteria: demographic data, methods, intervention, and outcomes. Results: Our initial search with the predefined search strategy proceeded with 113 studies. Finally, 7 studies were eligible for systematic review, and 3 of them were eligible for metaanalysis. A random meta-analysis of 3 articles comparing ICP before and after the infusion of HSL showed a reduced ICP following the use of HSL in traumatic brain injuries (P=0.015). Conclusion: Our study demonstrated the undeniable role of HSL in managing increased ICP in patients with brain injury. Nevertheless, conducting more clinical studies to assess the possible side effects of HSL seems crucial. Copyright © 2024 The Author(s).
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