Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Treatment of Water Intoxication With Mannitol-Reply

Treatment of Water Intoxication With Mannitol-Reply Abstract In Reply.—Since water intoxication has been a rare entity, it is not surprising that studies providing critical comparison of hypertonic saline vs mannitol have not been published. I agree with Nutman and Hill that mannitol is a reasonable choice, but it has not been proven to be safer or more effective. Although discussion of refinements of therapy is interesting, prevention is a more attractive topic. Interventions directed to the population at risk might include education, public service announcements, or modification of the instructions given to new mothers when they leave the hospital. Incentives to promote breast-feeding in the context of the Supplemental Food Program for Women, Infants, and Children (WIC) may be the most meaningful project. Finberg1 has suggested financial incentives to eligible mothers in the WIC program who breast-feed. Study of that approach in an appropriately structured fashion is overdue. References 1. Finberg L. Oral water intoxication . AJDC . 1992;146:893-894. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Treatment of Water Intoxication With Mannitol-Reply

Treatment of Water Intoxication With Mannitol-Reply

Abstract

Abstract In Reply.—Since water intoxication has been a rare entity, it is not surprising that studies providing critical comparison of hypertonic saline vs mannitol have not been published. I agree with Nutman and Hill that mannitol is a reasonable choice, but it has not been proven to be safer or more effective. Although discussion of refinements of therapy is interesting, prevention is a more attractive topic. Interventions directed to the population at risk might include education,...
Loading next page...
 
/lp/american-medical-association/treatment-of-water-intoxication-with-mannitol-reply-MBNYW9fWdx

References (2)

Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1992.02160220017006
Publisher site
See Article on Publisher Site

Abstract

Abstract In Reply.—Since water intoxication has been a rare entity, it is not surprising that studies providing critical comparison of hypertonic saline vs mannitol have not been published. I agree with Nutman and Hill that mannitol is a reasonable choice, but it has not been proven to be safer or more effective. Although discussion of refinements of therapy is interesting, prevention is a more attractive topic. Interventions directed to the population at risk might include education, public service announcements, or modification of the instructions given to new mothers when they leave the hospital. Incentives to promote breast-feeding in the context of the Supplemental Food Program for Women, Infants, and Children (WIC) may be the most meaningful project. Finberg1 has suggested financial incentives to eligible mothers in the WIC program who breast-feed. Study of that approach in an appropriately structured fashion is overdue. References 1. Finberg L. Oral water intoxication . AJDC . 1992;146:893-894.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Oct 1, 1992

There are no references for this article.