Are hypertonic hyperoncotic solutions safe for prehospital small-volume resuscitation? Results of a prospective observational study

European Journal of Emergency Medicine

Volumn 9, Issue 4, 2002, Pages 315-319

  Mauritz, Walter ^a   Schimetta, Wolfgang ^b   Oberreither, Sabine ^c   Pölz, Werner ^b  

^a Trauma Center Lorenz Böhler   (Australia)

^b JOHANNES KEPLER UNIVERSITY LINZ   (Austria)

^c Fresenius Kabi Austria   (Australia)

Author keywords

Chloride; Haemodynamics; Hydroxyethyl starch; Hypertonic hyperoncotic solutions; Small volume resuscitation; Sodium

Indexed keywords

HETASTARCH; SODIUM CHLORIDE;

ADULT; ARTICLE; AUSTRIA; EMERGENCY HEALTH SERVICE; FEMALE; HEMODYNAMICS; HEMORRHAGIC SHOCK; HOMEOSTASIS; HUMAN; MALE; METHODOLOGY; PROSPECTIVE STUDY; RESUSCITATION; TREATMENT OUTCOME;

ADULT; AUSTRIA; EMERGENCY MEDICAL SERVICES; FEMALE; HEMODYNAMIC PROCESSES; HETASTARCH; HOMEOSTASIS; HUMANS; MALE; PROSPECTIVE STUDIES; RESUSCITATION; SALINE SOLUTION, HYPERTONIC; SHOCK, HEMORRHAGIC; TREATMENT OUTCOME;

EID: 0036886835     PISSN: 09699546     EISSN: 14735695     Source Type: Journal    
DOI: 10.1097/00063110-200212000-00004     Document Type: Article

References (24)

1. Bickell WH, Wall MJ Jr, Pepe PE, Martin RR, Ginger VF, Allen MK, Mattox KL. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med 1994; 331: 1105-1109.
2. Kreimeier U, Prückner S, Peter K. Permissive hypotension during primary resuscitation. In: Yearbook of intensive care and emergency medicine 2001. Vincent JL (editor). Berlin, Heidelberg: Springer; 2001. pp. 331-341.
3. Roberts I, Evans P, Bunn F, Kwan I, Crowhurst E. Is the normalisation of blood pressure in bleeding trauma patients harmful? Lancet 2001; 357:385-387.
4. Lechleuthner A, Emerman C, Dauber A, Bouillon B, Kubincanek JA. Evolution of rescue systems: a comparison between Cologne and Cleveland. Prehospital Disaster Med 1994; 9:193-197.
5. Rossi R. Erstversorgung vor Ort oder schnellstmöglicher Transportbeginn? Zum Nutzen der präklinischen Behandlung des Notfallpatienten. Anaesthesist 1997; 46:126-132.
6. Kreimeier U, Thiel M, Messmer K. Hypertonic-hyperoncotic solutions. In: Trauma care - an update.Risberg B (editor). Stockholm: Pharmacia and Upjohn Sverige Ab; 1996. pp. 142-153.
7. Vassar MJ, Holcroft JW. Use of hypertonic-hyperoncotic fluids for resuscitation of trauma patients. J Intens Care Med 1992; 7:189-198.
8. Ciesla DJ, Moore EE, Gonzalez RJ, Biffl WL, Silliman CC. Hypertonic saline inhibits neutrophil (PMN) priming via attenuation of p38 MAPK signaling. Shock 2000; 14:265-270.
9. Angle N, Cabello-Passini R, Hoyt DB, Loomis WH, Shreve A, Namiki S, Junger WG. Hypertonic saline infusion: can it regulate human neutrophil function? Shock 2000; 14:503-508.
10. Kröll W, Pölz W, Schimetta W. ‘Small volume resuscitation’ - Eröffnen sich damit neue Möglichkeiten in der Behandlung des hypovolämischen Schocks? Wien Klin Wochenschr 1994; 106:8-14.
11. Maningas PA, Mattox KL, Pepe PE, Jones RL, Feliciano DV, Burch JM. Hypertonic saline-dextran solutions for the prehospital management of traumatic hypotensions. Am J Surg 1989; 157:528-534.
12. Mattox KL, Maningas PA, Moore EE, Mateer JR, Marx JA, Aprahamian C, et al. Prehospital hypertonic saline/dextran infusion for posttraumatic hypotension - the USA multicenter trial. Ann Surg 1991; 213:482-491.
13. Mols P, Robert P, Henry B, Fox A, Gillet JB, Flamand JP, Bepperling F. Study on the feasibility and hemodynamic efficacy of intravenous administration of small volume 7.2% NaCl/6% hydroxyethyl starch 200/0.5 in trauma patients during the prehospital period - a pilot study. J Eur d’ Urgences Reanim 1999; 3:99-104.
14. Vassar MJ, Perry CA, Gannaway WL, Holcroft JW. 7.5% sodium chloride/dextran for resuscitation of trauma patients undergoing helicopter transport. Arch Surg 1991; 126:1065-1072.
15. Vassar MJ, Fisher RP, O’Brien P, Bachulis BL, Chambers JA, Hoyt DB, Holcroft JW. A multicenter trial for resuscitation of injured patients with 7.5% sodium chloride: the effect of added dextran 70. Arch Surg 1993; 128:1003-1013.
16. Vassar MJ, Perry CA, Holcroft JW. Prehospital resuscitation of hypotensive trauma patients with 7.5% NaCl versus 7.5% NaCl with added dextran: a controlled trial. J Trauma 1993; 34:622-632.
17. Schimetta W, Schöchl H, Kröll W, Pölz W, Pölz G, Mauritz W. Safety of hypertonic hyperoncotic solutions - a survey from Austria. Wien Klin Wochenschr 2002; 114:89-95.
18. Tollofsrud S, Tonnessen T, Skraastad O, 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.
19. Christ F, Niklas M, Kreimeier U, Lauterjung L, Peter K, Messmer K. Hyperosmotic-hyperoncotic solutions during abdominal aortic aneurysm (AAA) resection. Acta Anaesthesiol Scand 1997; 41:62-70.
20. Järvelä K, Kaukinen S. Hypertonic saline (7.5%) after coronary artery bapass grafting. Eur J Anaesthesiol 2001; 18:100-107.
21. Sirieix D, Hongnat JM, Delayance S, D’Attelis N, Vicaut E, Berrebi A, et al. Comparison of the acute hemodynamic effects of hypertonic or colloid infusions immediately after mitral valve repair. Crit Care Med 1999; 27:2159-2165.
22. Vassar M, Perry C, Holcroft J. Analysis of potential risks associated with 7.5% sodium chloride resuscitation of traumatic shock. Arch Surg 1990; 125:1309-1315.
23. Boldt J, Zickmann B, Thiel A, Herold C, Hempelmann G. Hyperosmolarer Volumenersatz in der Herzchirurgie. Anaesthesist 1990; 39:412-419.
24. Prien T, Thülig B, Wüsten R, Schoofs J, Weyand M, Lawin P. Hyperton-hyperonkotischer Volumenersatz (7.5% NaCl/10% Hydroxyethylstärke 200.000/0.5) bei Patienten mit Koronararterienstenosen. Zentralbl Chir 1993; 118:257-266.