Controversial issues of mannitol use in patients with acute stroke(literature review and own experience)
The article discusses the use of mannitol in patients with acute stroke (AS). The features of treating edema, swelling of the brain and known complications with the use of mannitol in this category of patients are described. The experience of treatment of 416 acute stroke patients, most of which used mannitol (402 of 416 persons, 96.63 %), was presented. It has been found that electrolyte disturbances have often been observed in patients receiving mannitol infusion. In general, one or other type of electrolyte disturbances was detected in 73.9 % of cases (258 of 349 patients, who were treated for more than 7 days). The imbalance in the exchange of sodium and potassium was most common. As a result of review and analyzing own experience, a compromise solution to the problem of mannitol use in acute stroke patients is proposed.