Acta neurochirurgica. Supplement
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Acta Neurochir. Suppl. · Jan 1996
"Small volume resuscitation" as treatment of cerebral blood flow disturbances and increased ICP in trauma and ischemia.
"Small volume resuscitation" (SVR) is a promising concept for the treatment of shock and trauma patients. SVR utilizes the fast infusion of a small volume of hypertonic saline to mobilize intraendothelial and parenchymal water to expand and restitute intravascular volume. ⋯ Somatosensory evoked potentials (SEPs) serve as a short-term outcome parameter. The data demonstrate a beneficial effect treatment with hypertonic/hyperoncotic saline/hydroxyethylstarch as compared to volume replacement with starch or blood.