Traumatic brain injury (TBI) following increased intracranial pressure (ICP) is a
neuroemergency case which should be managed promptly to prevent secondary brain injury.
This will lead to a condition called cerebral energy dysfunction which is an important
determinant factor toward worse outcome. Lactate, which was historically known as
an end waste product, now is considered as an alternative cerebral energetic fuel.
Hypertonic sodium lactate (HSL) is a promising hyperosmolar fluid which serves not
only to decrease ICP but also to readily supply exogenous lactate to fulfill increased
cerebral energy demand. Pioneer studies have shown the harmlessness and usefulness
of HSL in treating pathological condition including TBI.
Key-words:
Hypertonic sodium lactate - intracranial pressure - traumatic brain injury
