Daily Sodium Intake during Acute Medical Management of Severe Pediatric Traumatic Brain Injury

Abstract

Aim The objective of this study is to assess the daily intake of sodium in first 3 days of all children with severe traumatic brain injury (TBI) admitted in pediatric intensive care unit (PICU) retrospectively in last 5 years.

Methods This was a retrospective chart review of all children (age: 1 month to 16 years) with severe TBI who received continuous infusion of 3% hypertonic saline for first 48 hours as a part of their acute medical management in PICU from January 2007 to December 2012. All children were managed as multidisciplinary team and acute medical management according to the published guidelines. Daily intake of sodium for first 48 hours was calculated.

Results A total of 79 patients were included in study cohort. The median age was 4.2 years and 75% were males. Fall (n = 48, 60%) and motor vehicle accident (n = 22, 27.8%) were the major mechanism of severe TBI. A total of 45% (36) required neurosurgical interventions. Overall, 86.1% (n = 68) were survived to discharge home with good neurological outcome. The daily sodium intake were 8.6 ± 3.8 mEq/kg and 9.6 ± 3.8 mEq/kg on day 1 and day 2, respectively. There were no significant complications associated with hypertonic saline infusion.

Conclusion The daily intake of sodium was high in initial management of severe TBI in children.

Keywords

sodium - children - traumatic brain injury

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