Hypertonic Saline

[Sanjay Gupta MD]

Dear Dr. Kalkum, thanks for the response.  The issue
is that the hypertonic saline is being used as a
maintenance fluid, when the resuscitation phase is
over, let us say, on the 10th post-trauma day, not on
the first.  The patients are not hemodynamically
unstable.  Is that appropriate?


Sanjay



--- Mathias Kalkum <listen at doc-kalkum.de> wrote:

> Sanjay,
> > A new partner has joined our trauma team and she
> has
> > great faith in Hypertonic saline, not only for
> > resuscitation, but also for regular maintenance
> fluid
> > for patients with head injuries as well as for all
> > sorts of other critically ill surgical patients.  
> 
> hypertonic saline is a well known solution. There
> are dextran and HAES 
> based products on the market. Aim is to rapid
> restore a minimum blood 
> pressure *and* to avoid such nasty things like fluid
> overload etc. In 
> given circumstances and handled with caution (don't
> pop the clot etc...) 
> it seems to have some advantages in comparison to
> other fluids. Head 
> injury is such an example.
> 
> Mathias
> --
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> 


Sanjay Gupta
Tel: 412 335 6304


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