Anesthesiologists are involved: Anesthesiologists are involved

Studies of the efficacy of HSD in trauma patients have been inconclusive

the most obvious benefit has been in a subset of poly traumatized patients with both hemorrhage and TBI, where improved neurologic status was demonstrated in patients who received HSD as a resuscitation fluid

HS is commonly used as an osmotic agent in the management of TBI with increased ICP.

Colloids:

• Colloids:

• hetastarch solutions and albumin, have long been advocated for rapid plasma volume expansion.

• colloids are readily available

• easily stored and administered

• relatively inexpensive.

• As with the hypertonic solutions, colloids will increase intravascular volume by drawing free water back into the vascular space.