Acute treatment of uncompensated heart failure with 10% hypertonic saline and its subsequent effect on respiratory patterns

Zampieri, Fernando Godinho; Caruso, Pedro

doi:10.1590/s1807-59322011000400031

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Here, again, the picture is not so simple because acute improvement of pulmonary hemodynamics failed to suppress CSB in patients with CHF (1). However, a case report of rapidly reversible CSB with acute treatment of CHF with hypertonic saline reminds us that hemodynamic restoration of a failing heart is the best treatment for this breathing disorder (17). In a large study, Dimitriadis et al (4) have shown that transfemoral aortic valve implantation (TAVI) for severe aortic stenosis improved central sleep apnea.…”

Section: Discussionmentioning

confidence: 99%

Cheyne–Stokes respiration and cardiovascular oscillations ending abruptly when deploying transfemoral aortic valve

Kahn

Baele

Pasquet

et al. 2020

Journal of Applied Physiology

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A 86-yr-old man was referred for transfemoral aortic valve implantation. Transthoracic echocardiography revealed a severe stenosis (mean gradient: 58 mmHg, aortic valve area: 0.4 cm2), and after multidisciplinary discussion, the risk of surgery was judged too high (logistic Euroscore: 51%), and the patient was proposed for a transfemoral aortic valve implantation (TAVI). On arrival in the operating room, the patient, fully conscious, was noted to have Cheyne–Stokes breathing (CSB), which persisted after 40% oxygen administration. TAVI procedure was successful, and the CSB pattern was interrupted within 8 s. To the best of our knowledge, this report is the first to show an acute disappearance of CSB, occurring only seconds after TAVI and restoration of a normal hemodynamic situation. To explain such rapid changes in breathing pattern, we hypothesize a role played by the acute release of pulmonary hypertension and pulmonary volume overload. NEW & NOTEWORTHY Acute disappearance of Cheyne–Stokes breathing after transfemoral aortic valve implantation suggests a reflex pathway originating from the fall in pulmonary vessels congestion.

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Section: Discussionmentioning

confidence: 99%

Cheyne–Stokes respiration and cardiovascular oscillations ending abruptly when deploying transfemoral aortic valve

Kahn

Baele

Pasquet

et al. 2020

Journal of Applied Physiology

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“…The use of 100 mL of 10% HTS led to hemodynamic stabilization and improvement in the breathing pattern of the patient within 3 minutes. 61…”

Section: Hypovolemic Shockmentioning

confidence: 99%

Use of Hypertonic Saline in Neuroanesthesia and Neurocritical Care Practice: A Narrative Review

Barik

Thappa

Jangra

et al. 2023

J Neuroanaesth Crit Care

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Hypertonic saline (HTS) is a group of fluids containing sodium and chloride in a higher concentration as compared to physiological saline. The authors have conducted this review to evaluate the use of HTS in neuroanesthesia and neurocritical care. The articles for this narrative review on HTS were searched on databases like PubMed Central, EMBASE, and Google Scholar using the Medical Subject Headings keywords “Hypertonic Saline,” “Neuroanesthesia,” and “Neurocritical Care.” The review focuses on the mechanisms of HTS and its in routine clinical practice. The results of various comparative studies between HTS and mannitol and guidelines regarding the use of HTS have also been reviewed. HTS can be used to treat hyponatremia, reduce intracranial pressure, provide intraoperative relaxed brain, and aid in resuscitation during cardiogenic, neurogenic, and septic shock. Its side effects include renal toxicity in the case of hypernatremia, rebound intracranial hypertension, volume overload, dyselectrolytemia, phlebitis, local tissue damage, and osmotic demyelination syndrome in the case of rapid correction of serum sodium concentration.

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Hypertonic saline with furosemide for the treatment of acute congestive heart failure: A systematic review and meta-analysis

Gandhi

Mosleh

Myers

2014

International Journal of Cardiology

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Acute treatment of uncompensated heart failure with 10% hypertonic saline and its subsequent effect on respiratory patterns

Cited by 3 publications

References 3 publications

Cheyne–Stokes respiration and cardiovascular oscillations ending abruptly when deploying transfemoral aortic valve

Cheyne–Stokes respiration and cardiovascular oscillations ending abruptly when deploying transfemoral aortic valve

Use of Hypertonic Saline in Neuroanesthesia and Neurocritical Care Practice: A Narrative Review

Hypertonic saline with furosemide for the treatment of acute congestive heart failure: A systematic review and meta-analysis

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