Hypertonic saline

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In ICU we use hypertonic saline as osmotic treatment of choice for
intracranial hyertension. Some recalicitrant neurosurgeons still want to
use mannitol and I haven't yet convinced the emergency dept to change
completely. The pre hospital (physician based) retrieval service here
just carries hypertonic saline [pragmatic reason for abandoning mannitol
was the fact that it turned to jelly in cold temperatures].

Note I am just referring to emergency management of intracranial
hypertension. Jamie Cooper demonstrated no difference in outcome with
the routine use of hypertonic saline for TBI prehospital (JAMA 2004,
291:1350-1357)

Cheers, Ian

Ian Seppelt FANZCA FJFICM
Senior Staff Specialist
Dept of Intensive Care Medicine
The Nepean Hospital, PO Box 63 Penrith NSW 2751
Clinical Lecturer, University of Sydney

>>> glamourcv at gmail.com 24/04/2006 3:16pm >>>
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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