Hypertonic saline and dextran after coronary artery surgery mobilises fluid excess and improves cardiorespiratory functions

Acta Anaesthesiologica Scandinavica

Volumn 42, Issue 2, 1998, Pages 154-161

  Tollofsrud S ^a   Noddeland, H ^a  

^a OSLO UNIVERSITY HOSPITAL   (Norway)

Author keywords

Cardiorespiratory function; Coronary artery bypass surgery; Dextran; Fluid balance; Hypertonic saline

Indexed keywords

DEXTRAN; SODIUM CHLORIDE;

ADULT; AGED; ARTICLE; CAPILLARY PERMEABILITY; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS SURGERY; DIURESIS; EXTRACORPOREAL CIRCULATION; FEMALE; FLUID BALANCE; HEART OUTPUT; HEMODYNAMICS; HUMAN; HYPOVOLEMIA; INTRAVENOUS DRUG ADMINISTRATION; MALE; POSTOPERATIVE PERIOD; PRIORITY JOURNAL;

EID: 0031912471     PISSN: 00015172     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1399-6576.1998.tb05101.x     Document Type: Article

References (20)

1. Koller ME, Bert J, Segadal L, Reed RK. Estimation of totalbody shifts between plasma and interstitium in man during extracorporeal circulation. Acta Anaethesiol Scand 1992: 36: 255-259.
2. Olthof CG, Jansen PGM, De Vries JPPM, Kouw PM, Eijsman L, De Lange JJ et al. Interstitial fluid volume during cardiac surgery measured by means of a non-invasive conductivity technique. Acta Anaesthesiol Scand 1995: 39: 508-512.
3. Row GG, McKenna DH, Corliss RJ, Sialer S. Hemodynamic effects of hypertonic sodium chloride. J Appl Physiol 1972: 32: 182-184.
4. Smith GJ, Kramer GC, Perron P, Nakayama SI, Gunther RA, Holcroft JW. A comparison of several hypertonic solution for resuscitation of bled sheep. J Surg Res 1985: 39: 517-528.
5. Munro HM, Wood CE, Taylor BL, Smith GB. Continuous invasive cardiac output monitoring - the Baxter/Edwards Critical-Care Swan Ganz® IntelliCath™ and Vigilance™ system. Clin Int Care 1994: 5: 52-55.
6. Lindberg HL. Early postoperative changes following cardiopulmonary bypass. PhD Thesis, Surgical Department A, Rikshospitalet, The National Hospital, Oslo, Norway, 1989.
7. Aukland K, Johnsen HM. A colloid osmometer for small fluid samples. Acta Physiol Scand 1974: 90: 485-490.
8. Onarheim H, Missavage AE, Kramer GC, Gunther RA. Effectiveness of hypertonic saline-dextran 70 for initial fluid resuscitation of major burns. J Trauma 1990: 30: 597-603.
9. Boldt J, Kling D, Herold C, Dapper F, Hempelmann G. Volume therapy with hypertonic saline hydroxyethyl starch solution in cardiac surgery. Anaesthesia 1990: 45: 928-934.
10. Boldt J, Zickmann B, Ballesteros M, Herold C, Dapper F, Hempelmann G. Cardiorespiratory responses to hypertonic saline solution in cardiac operations. Ann Thorac Surg 1991: 51: 610-615.
11. Oliveira SA, Bueno RM, Souza JM, Senra DF, Rocha e Silva M. Effects of hypertonic saline dextran on the postoperative evolution of Jehovah's witness patients submitted to cardiac surgery with cardiopulmonary bypass. Shock 1995: 6: 391-394.
12. Tølløfsrud S, Tønnessen T, Skraastad ø, Noddeland H. Hypertonic saline and dextran in normovolaemic and hypovolaemic healthy volunteers increases interstitial and intravascular fluid volumes. Acta Anaesthesiol Scand 1998: 42: 145-153.
13. Velasco IT, Rocha e Silva M, Oliveira MA, Oliveira MA, Silva RIN. Hypertonic and hyperoncotic resuscitation from severe hemorrhagic shock in dogs: A comparative study. Crit Care Med 1989: 17: 261-264.
14. Kramer GC, Perron PR, Lindsey C, Ho HS, Gunther RA, Boyle WA et al. Small-volume resuscitation with hypertonic saline in dextran solution. Surgery 1986: 100: 239-247.
15. Weite M, Goresch T, Frey L, Holzer K, Zwissler B, Messmer K. Hypertonic saline dextran does not increase cardiac contractile function during small volume resuscitation from hemorrhagic shock in anesthetized pigs. Anesth Analg 1995: 80: 1099-1107.
16. Goertz AW, Tobias M, Linder KH, Rockemann MG, Schirmer U, Schwilk B et al. Effect of 7.2% hypertonic saline/6% hetastarch on left ventricular contractility in anesthetized humans. Anesthesiology 1995: 82: 1389-1395.
17. Mazzoni MC, Borgstrøm P, Arfors KE, Intaglietta M. Dynamic fluid redistribution in hyperosmotic resuscitation of hypovolemic hemorrhage. Am J Physiol 1988: 255: H629-637.
18. Tølløfsrud S, Svennevig JL, Breivik H, Kongsgaard U, Øzer M, Hysing E et al. Fluid balance and pulmonary functions during and after coronary artery bypass surgery: Ringer's acetate compared with dextran, polygeline, or albumin. Acta Anaesthesiol Scand 1995: 39: 671-677.
19. Svennevig JL, Lindberg H, Geiran O, Semb BKH, Abdelnour M, Ottesen S et al. Should the lungs be ventilated during cardiopulmonary bypass? Clinical, hemodynamic, and metabolic changes in patients undergoing elective coronary artery surgery. Ann Thorac Surg 1984: 37: 295-300.
20. Monafo WW, Chuntrasakul C, Ayvazian V. Hypertonic sodium solution in the treatment of burn shock. Am J Surg 1973: 126: 773-780.