Resuscitation from hemorrhagic shock: Experimental model comparing normal saline, dextran, and hypertonic saline solutions

Critical Care Medicine

Volumn 31, Issue 7, 2003, Pages 1915-1922

  Chiara, Osvaldo ^a,d   Pelosi, Paolo ^b   Brazzi, Luca ^a   Bottino, Nicola ^a   Taccone, Paolo ^a   Cimbanassi, Stefania ^a   Segala, Marco ^a   Gattinoni, Luciano ^a   Scalea, Thomas ^c  

^a UNIVERSITY OF MILAN   (Italy)

^b UNIVERSITY OF INSUBRIA   (Italy)

^c R ADAMS COWLEY SHOCK TRAUMA CENTER   (United States)

^d FONDAZIONE IRCCS CA GRANDA OSPEDALE MAGGIORE POLICLINICO   (Italy)

Author keywords

Dextran; Hemorrhagic shock; Hypertonic solution; Splanchnic blood flow; Splanchnic oxygen transport; Volume resuscitation

Indexed keywords

DEXTRAN; HYPERTONIC SOLUTION; INFUSION FLUID; ISOTONIC SOLUTION; SODIUM CHLORIDE;

ABDOMINAL AORTA; ANIMAL EXPERIMENT; ANIMAL MODEL; AORTA FLOW; ARTICLE; CONTROLLED STUDY; FEMALE; FLUID THERAPY; HEMORRHAGIC SHOCK; KIDNEY BLOOD FLOW; MEAN ARTERIAL PRESSURE; MESENTERY BLOOD FLOW; NONHUMAN; PRIORITY JOURNAL; RENAL ARTERY; RESUSCITATION; SWINE; TISSUE OXYGENATION;

EID: 0042868286     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000074725.62991.42     Document Type: Article

References (37)

1. Twigley AJ, Hillman KM: The end of the crystalloid era? A new approach to perioperative fluid administration. Anaesthesia 1985; 40:860-871
2. Wagner BKS, D'Amelio LF: Pharmacologic and clinical considerations in selecting crystalloid, colloidal and oxygen carrying resuscitation fluid. Clin Pharmacol 1993; 12:415-428
3. Bruckner UB, Messmer K: Organ perfusion and tissue oxygenation after moderate isovolemic hemodilution with HES 200/0.62 and dextran 70. Anaesthetist 1991; 40:434-440
4. Traylor RJ, Pearl RG: Crystalloid versus colloid: All colloids are not created equal. Anesth Analg 1996; 83:209-212
5. Boldt J, Muller M, Heesen M, et al: Influence of different volume therapies and pentoxifylline infusion on circulating soluble adhesion molecules in critically ill patients. Crit Care Med 1996; 24:385-391
6. Baldwin AI, Wu NZ, Stein DL: Endothelial surface charge of interstitial mucosal capillaries and its modulation by dextran. Microvasc Res 1991; 42:160-178
7. Ring J, Messmer K: Incidence and severity of anaphylactoid reaction to colloid volume substitutes. Lancet 1977; i:466-469
8. Abramson N: Plasma expanders and bleeding. Ann Intern Med 1988; 108:307-313
9. Moran M, Kapsner C: Acute renal failure associated with elevated plasma oncotic pressure. N Engl J Med 1987; 317:150-153
10. Gala GJ, Lilly MP, Thomas SE, et al: Interaction of sodium and volume in fluid resuscitation after hemorrhage. J Trauma 1991; 31:545-556
11. Dubick MA, Wade CE: A review of the efficacy and safety of 7.5% NaCl/6% dextran 70 in experimental animals and humans. J Trauma 1994; 36:323-330
12. Corso CO, Okamoto S, Laiderer R, et al: Resuscitation with hypertonic saline dextran reduces endothelial cell swelling and improves hepatic microvascular perfusion and function after hemorrhagic shock. J Surg Res 1998; 80:210-220
13. Maningas PA: Resuscitation with 7.5% NaCl in 6% dextran 70 during hemorrhagic shock in swine: Effects on organ blood flow. Crit Care Med 1987; 15:1121-1126
14. Scalia SV, Taheri PA, Force S, et al: Mesenteric microcirculatory changes in nonlethal hemorrhagic shock: The role of resuscitation with balanced electrolyte or hypertonic saline/dextran. J Trauma 1992; 33:321-325
15. Angle N, Hoyt DB, Cabello-Passini R, et al: Hypertonic saline resuscitation reduces neutrophil margination by suppressing neutrophil L selectin expression. J Trauma 1998; 45:7-13
16. Anderson JT, Wisner DH, Sullivan PE, et al: Initial small volume hypertonic resuscitation of shock and brain injury: Short and Long-term effects. J Trauma 1997; 42:592-601
17. Qureshi AI, Suarez JI: Use of hypertonic saline solutions in treatment of cerebral edema and intracranial hypertension. Crit Care Med 2000; 28:3301-3313
18. Pascual JMS, Watson JC, Runyon AE, et al: Resuscitation of intraoperative hypovolemia: A comparison of normal saline and hyperosmotic/hyperoncotic solutions in swine. Crit Care Med 1992; 20:200-210
19. Holcroft JW, Vassar MJ, Turner JE, et al: 3% NaCl and 7.5% NaCl/dextran in the resuscitation of severely injured patients. Ann Surg 1987; 206:279-288
20. Vassar MJ, Colleen AP, Gannaway WL, et al: 7.5% sodium chloride/dextran for resuscitation of trauma patients undergoing helicopter transport. Arch Surg 1991; 126:1065-1072
21. Mattox KL, Maningas PA, Moore EE, et al: Prehospital hypertonic saline/dextran infusion for postraumatic hypotension. Ann Surg 1991; 213:482-491
22. 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; 34:622-633
23. Vassar MJ, Fischer RP, O'Brien PE, et al: A multicenter trial for resuscitation of injured patients with 7.5% sodium chloride. The effect of added dextran 70. The Multicenter Group for the Study of Hypertonic Saline in Trauma Patients. Arch Surg 1993; 128:1003-1011; discussion 1011-1013
24. Pope A, Longnecker DE, French G (Eds): Fluid resuscitation: State of the science of treating combat casualties and civilian injuries. Institute of Medicine, Washington DC, National Academic Press, 1999
25. Wiggers CJ, Angnaham RC, Dille J: Hemorrhagic hypotensive shock in locally anesthetized dogs. Am J Physiol 1945; 143:126-131
26. Armitage P: Statistical methods in medical research. Oxford, Blackwell Scientific Publication, 1971
27. Krausz MM: Controversies in shock research: Hypertonic resuscitation - Pros and cons. Shock 1995; 3:69-72
28. Silva LE, Coelho IJC, Franca ESV, et al: Treatment of severe experimental retroperitoneal hematoma with hypertonic NaCl, hypertonic Na acetate or isotonic lactated Ringer's. Effects on blood loss and hemodynamic parameters. Shock 1996; 5(Suppl 2):26-27
29. Velasco IT, Rocha e Silva M, Oliveira MA, et al: Hypertonic and hyperoncotic resuscitation from severe hemorrhagic shock in dogs: A comparative study. Crit Care Med 1989; 17:261-264
30. Wade CE, Hamon JP, Bossone CA, et al: Resuscitation of conscious pigs following hemorrhage: Comparative efficacy of small volume resuscitation. Circ Shock 1989; 29:193-204
31. Smith GJ, Kramer GC, Perron P, et al: A comparison of several hypertonic solutions for resuscitation of bled sheep. J Surg Res 1985; 39:517-528
32. Moon PF, Kramer GC: Hypertonic saline-dextran resuscitation from hemorrhagic shock induces transient mixed acidosis. Crit Care Med 1995; 23:323-331
33. Wade CE, Hannon JP, Bossone CA, et al: Superiority of hypertonic saline/dextran over hypertonic saline during the first 30 min of resuscitation following hemorrhagic hypotension in conscious swine. Resuscitation 1990; 20:49-56
34. Tollofsrud S, Elgjo GI, Prough DS, et al: The dynamics of vascular volume and fluid shifts of lactated Ringer's solution and hypertonic-saline-dextran solutions infused in normovolemic sheep. Anesth Analg 2001; 93:823-831
35. Chiara O, Pelosi P, Segala M, et al: Mesenteric and renal oxygen transport during hemorrhage and reperfusion. Evaluation of optimal goals for resuscitation. J Trauma 2001; 51:356-362
36. Prough DS, Whitley TM, Taylor CL, et al: Small volume resuscitation from hemorrhagic shock in dogs: Effects on systemic hemodynamics and systemic blood flow. Crit Care Med 1991; 19:364-372
37. Sondeen JL, Gonzaludo GA, Loveday JA, et al: Hypertonic saline/dextran improves renal function after hemorrhage in conscious swine. Resuscitation 1990; 20:231-241