What situations might be appropriate for the use of hypertonic saline

Hypertonic saline (usually 3%) has been used successfully during aortic reconstructions and extensive cancer resections; for hypovolemic shock, slow correction of symptomatic chronic hyponatremia, transurethral resection of the prostate syndrome, and increased intracranial pressure; and to reduce peripheral edema after major fluid resuscitations. It has been used in far forward combat situations and in trauma patients with prolonged transportation times (rural areas), but its use is still not extremely common.

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