Hypertone Lösungen:
Volumen auf Pump?

Hypertone Kochsalzösung - Mikrozirkulation - osmotischer Gradient - Redistribution - small volume resuscitation

Literatur

• 1 Hercher F. Die Behandlung der Gefäßatonie mit hypertonischer physiologischer Salzlösung.  Münchner Med Wochenschr. 1916;  49 1740-1742
• 2 Preitzman A B, Billiar T R, Harbrecht B G. Hemorrhagic shock.  Curr Probl Surg. 1995;  32 932-1001
• 3 Kreimeier U, Peter K. Prehospital Fluid Replacement. In: Vincent J-L Yearbook of Intensive Care and Emergency Medicine. Berlin, Heidelberg, New York: Springer Verlag 1997: 383-397
• 4 Messmer K. Compromised Perfusion.  Prog Appl Microcirc Karfger Basel. 1996;  22 1-186
• 5 Kreimeier U, Frey L, Messmer K. Small volume resuscitation.  Current Opinion in Anaesthesiology. 1993;  6 400-408
• 6 Mazzoni M C, Borgstroem P, Arfors K E, Intalgietta M. Dynamic fluid redistribution in hyperosmotic resuscitation of hypovolemic hemorrhage.  Am J Physiol. 1988;  255 629-637
• 7 Mazzoni M C, Lundgren B, Arfors K E, Intalgietta M. Volume changes of an endothelial cell monolayer on exposure to anisotonic media.  J Cell Physiol. 1989;  140 272-280
• 8 Nakayama S, Kramer G C, Carlsen R C, Holcroft J W. Infusion of very hypertonic saline to bled rats - membrane potentials and fluid shifts.  J Surg Res. 1985;  38 180-186
• 9 Nolte D, Bayer M, Lehr H, Becher M, Krombach F, Kreimeier U, Messmer K. Attenuation of postischemic microvascular disturbances in striated muscle by hyperosmolar saline dextran.  Am J Physiol. 1992;  263 1411-1416
• 10 Wade C E, Kramer G C, Grady J J, Fabian T C, Younes R N. Efficacy of hypertonic 7,5 % saline and 6 % dextrane 70 in treating trauma: a meta-analysis of controlled clinical studies.  Surgery. 1997;  122 609-616
• 11 Ellinger K, Fähnle M, Schroth M, Albrecht.DM. Optimal preoperative titrated dosage of hypertonic hyperoncotic solutions in cardiac risk patients.  Shock. 1995;  3 167-172
• 12 Schwarz S, Schwab S, Bertram M, Aschoff A, Hacke W. Effects of hypertonic saline hydroxyethyl starch solution and mannitol in patients with increased intracranial pressure after stroke.  Stroke. 1998;  29 1550-1555