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.
