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Mon Apr 24 15:22:50 BST 2006

Actually, yes we do - serum osmo is measured, and the goal is to keep it
under 320 (above wihch manitol cannot be used), with the serum Na
150-160.  I must admit that the NS team is still "developing the
protocol" - another way of saying that they are winging it for the
present time.  Doesn't make me feel really comfortable.  Or confident
either........

>>> glamourcv at gmail.com 04/24 9:11 AM >>>
Many thanks Ron,
Just one more curiosity : does your protocol contemplate serum
osmolality
monitoring?

claudia

On 4/24/06, Ronald Gross <Rgross at harthosp.org> wrote:
>
> Claudia,
>
> While we do not use HTS for either septic or hemorrhagic shock
(yet?), we
> are now using HTS as our standard fluid resus for all head injured
patients
> with cerebral edema - and have been for about 3 months.  I do not
know if it
> has made a difference just yet, but we are looking to either confirm
or
> disprove its efficacy in our patients.
>
> We shall see......
>
> Take care,
> Ron
>
> >>> glamourcv at gmail.com 04/24 1:16 AM >>>
> Dear everybody
>
> I would like to make a simple query at this website...
>
> How many of you follow regular hypertonic saline resuscitation
> protocols  for hemorrhagic shock?
>
> How many of you use hypertonic saline as first line therapy for head
> trauma  with brain edema?
>
> How many of you follow regular  hypertonic saline resuscitation
> protocols for septic shock resuscitation?
>
>
> I am expecting your answers.
>
>
> Thanks in advance,
>
> claudia
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