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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:
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.
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