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. 2014 Jul 16;2014(7):CD010026. doi: 10.1002/14651858.CD010026.pub2

Hernández‐Palazón 2016.

Methods RCT, parallel design,Department of Anaesthesia, Hospital Universitario ‘‘Virgen de la Arrixaca’’, Murcia, Spain; Department of Neurosurgery, Hospital Universitario ‘‘Virgen de la Arrixaca’’, Murcia, Spain
Sample size: 'An expected mean difference of 1.0, SD in both the groups of 1.2 in
 brain relaxation score, with error of 0.05 and error of 0.2 were
 considered as clinically significant for the power analysis.This
 calculation produced a sample size of 60 subjects (30 subjects per
 group) considering a loss ratio of 10%.'
Participants Total: 60 adult patients (18 ‐ 70 years), ASA I/II/III ( 26 female; 34 male)
Age [mean (standard deviation)]: mannitol group: 50 (16) years; HTS group: 49 (15) years
Gender (male/female): mannitol group: 17/13; HTS group: 17/13
Inclusion:aged 18–70 years, ASA I/II/III
Exclusion:perioperative hypo‐ or hyper‐natraemia (serum sodium <130 or >150 mEq/l), treatment with mannitol or HTS in previous 24 h, kidney disease, disturbance of water or sodium metabolism, preoperative Glasgow Coma Scale Score < or = 13, preoperative presence of obstructive hydrocephalus and congestive heart failure.
Interventions HTS: 3 ml/kg of 3% HTS
Control: 3 ml/kg of 20% mannitol at 0.6 g/kg body weight mannitol over 15 minutes
Outcomes 1. Brain relaxation
2. ICU stay
3. Hospital stay
4. Mortality
Notes 4‐point scale: 1=perfectly relaxed, 2=satisfactorily relaxed, 3=firm brain, 4=bulging brain