This site is intended for healthcare professionals

Sign in
Go to /sign-in page

You can view 5 more pages before signing in

Hypertonic saline in burns resuscitation

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Hypertonic saline is used in burns resuscitation to reduce the total volume of fluid administered for major injuries. Excess sodium concentration in the fluid causes water to be drawn out of cells into the interstitial space. This may have the effect of decreasing the systemic vascular resistance.

However, there are problems:

  • excess sodium retention
  • hypernatraemia
  • excess natriuresis; urine output becomes an unreliable index of tissue perfusion
  • does not reduce oedema in non-burned tissue compared to colloid

The fluid regimen used is the Parkland Formula but frequently less fluid than the estimate is required.

Plasma sodium concentration should not rise above 160 mmol/l.

Create an account to add page annotations

Create a free account

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.