["Small volume resuscitation"--does it open new possibilities in the treatment of hypovolemic shock?].
Hypertonic-hyperoncotic solutions are a supplementation to conventional fluid regimens in the management of hypovolemia due to trauma, hemorrhage and shock. In this review the possible modes of action of these solutions are discussed and their efficacy both in experimental and clinical settings is presented. Possible side effects, such as hypernatremia and possible problems in the presence of increased intracranial pressure, following administration of hypertonic-hyperoncotic solutions are discussed, as well as the reaction of normovolemic patients to such infusions.
Kröll
W
W
Universitätsklinik für Anästhesiologie, Graz.
Pölz
W
W
Schimetta
W
W
D001810:Blood Volume / Q000502:physiology; D003422:Critical Care / Q000379:methods*; D005440:Fluid Therapy / Q000379:methods*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D006982:Hypertonic Solutions; D012769:Shock / Q000503:physiopathology / Q000628:therapy*; D014882:Water-Electrolyte Balance / Q000502:physiology
D006982:Hypertonic Solutions
"Small volume resuscitation"--Eröffnen sich damit neue Möglichkeiten in der Behandlung des hypovolämischen Schocks?