Studies Are Carried out in Hospitals
Apart from 6% HES in balanced electrolyte solutions, “Hyperhes“ is available, a preparation containing 6% HES in 7.2% hypertonic saline.
This infusion solution has certainly saved the lives of many patients, when given as a concentrate for fluid resuscitation.
Freshly polytraumatized patients are at a high risk of bleeding to death at the accident site and the first blood unit only becomes available after arrival in the emergency trauma room. Until that point in time, only Hyperhes, HES, gelatin or crystalloids are at hand, and the best fluid replacement effect is achieved with HES solutions.
Should HES be really taken off the market, we will definitely miss it at the actual accident site, but these studies are undertaken in hospitals, and rarely in out-of-hospital situations.
|1.||Hartog CS, Welte T, Schlattmann P, Reinhart K: Fluid replacement with hydroxyethyl starch in critical care—a reassessment. Dtsch Arztebl Int 2013; 110(26): 443–50 VOLLTEXT|