Sugar solutions used in resuscitation.
Although recent studies have shown that the timing of volume replacement deserves careful consideration (56), which fluid to use is less clear, with the perennial debate of crystalloid v colloid and now colloid v colloid still unresolved. This review has examined three sugar solutions, two colloids and one crystalloid. In general, all three agents are unhelpful in the immediate resuscitation of hypovolaemic trauma by virtue of a combination of pathophysiology and side effects. Dextran solutions and mannitol are useful in specific situations.
Parkhouse
D
D
Medical Regiment, 16 Air Assault Brigade, Goojerat Barracks, Colchester. hdp02@ukonline.co.uk
D001826:Body Fluids / Q000502:physiology; D001930:Brain Injuries / Q000517:prevention & control; D003911:Dextrans / Q000378:metabolism / Q000627:therapeutic use*; D005440:Fluid Therapy; D005947:Glucose / Q000627:therapeutic use*; D006801:Humans; D019586:Intracranial Hypertension / Q000628:therapy; D008353:Mannitol / Q000627:therapeutic use*; D012151:Resuscitation; D012996:Solutions / Q000627:therapeutic use*; D014947:Wounds and Injuries / Q000628:therapy
D003911:Dextrans; D012996:Solutions; D008353:Mannitol; D005947:Glucose