Acute haemodynamic effects of a hypertonic saline/dextran solution in stable patients with severe sepsis

Intensive Care Medicine

Volumn 28, Issue 11, 2002, Pages 1574-1581

  Oliveira, R P ^a,b   Weingartner, R ^b   Ribas, E O ^b   Moraes, R S ^b   Friedman, G ^a,b  

^a FEDERAL UNIVERSITY OF RIO GRANDE DO SUL   (Brazil)

^b Central Intensive Care Unit   (Brazil)

Author keywords

Clinical trial; Dextran; Hemodynamics; Hypertonic saline; Sepsis; Small volume

Indexed keywords

DEXTRAN; HYPERTONIC SOLUTION; SODIUM; SODIUM CHLORIDE;

ADULT; AGED; ARTICLE; BLOOD GAS ANALYSIS; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DISEASE SEVERITY; DOUBLE BLIND PROCEDURE; DRUG EFFECT; FEMALE; HEART INDEX; HEART STROKE VOLUME; HEMODYNAMICS; HUMAN; INTENSIVE CARE UNIT; LUNG ARTERY PRESSURE; MALE; RANDOMIZED CONTROLLED TRIAL; SEPSIS; SODIUM BLOOD LEVEL; SYSTEMIC VASCULAR RESISTANCE;

ADULT; AGED; ANALYSIS OF VARIANCE; BLOOD GAS ANALYSIS; DEXTRANS; DOUBLE-BLIND METHOD; FEMALE; FLUID THERAPY; HEMODYNAMIC PROCESSES; HUMANS; HYPERTONIC SOLUTIONS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; SALINE SOLUTION, HYPERTONIC; SEPSIS; STATISTICS, NONPARAMETRIC; TREATMENT OUTCOME;

EID: 12244283984     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-002-1509-x     Document Type: Article

References (39)

1. Friedman G, Silva E, Vincent JL (1998) Has the mortality of septic shock changed with time? Crit Care Med 26:2078-2086
2. Metrangolo L, Fiorillo M, Friedman G, Silance PG, Kahn RJ, Novelli GP, et al (1995) Early hemodynamic course of septic shock. Crit Care Med 23:1971-1975
3. Vincent JL, Gris P, Coffernils M, Leon M, Pinsky M, Reuse C, et al (1992) Myocardial depression characterizes the fatal course of septic shock. Surgery 111:660-667
4. Schierhout G, Roberts I (1998) Fluid resuscitation with colloid or crystalloid solutions in critically ill patients: A systematic review of randomised trials. BMJ 316:961-964
5. Choi PT, Yip G, Quinonez LG, Cook DJ (1999) Crystalloids vs colloids in fluid resuscitation: A systematic review. Crit Care Med 27:200-210
6. Rackow EC, Falk JL, Fein IA, Siegel JS, Packman MI, Haupt MT, et al (1983) Fluid resuscitation in circulatory shock: A comparison of the cardiorespiratory effects of albumin, hetastarch, and saline solutions in patients with hypovolemic and septic shock. Crit Care Med 11:839-850
7. Packman MI, Rackow EC (1983) Optimum left heart filling pressure during fluid resuscitation of patients with hypovolemic and septic shock. Crit Care Med 11:165-169
8. Shoemaker WC (1976) Comparison of the relative effectiveness of whole blood transfusions and various types of fluid therapy in resuscitation. Crit Care Med 4:71-78
9. Hauser CJ, Shoemaker WC, Turpin I, Goldberg SJ (1980) Oxygen transport responses to colloids and crystalloids in critically ill surgical patients. Surg Gynecol Obstet 150:811-816
10. Metildi LA, Shackford SR, Virgilio RW, Peters RM (1984) Crystalloid versus colloid in fluid resuscitation of patients with severe pulmonary insufficiency. Surg Gynecol Obstet 158:207-212
11. Hankeln K, Siebert-Spelmeyer C, Bohmert F, Beez M, Laniewski P (1988) Effect of colloid volume replacement substances and Ringer's lactate on hemodynamics and oxygen consumption of intensive care patients. Infusionstherapie 15:33-38
12. Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine (1999) Practice parameters for hemodynamic support of sepsis in adult patients in sepsis. Crit Care Med 27:639-660
13. Mouren S, Delayance S, Mion G, Souktani R, Fellahi JL, Arthaud M, et al (1995) Mechanisms of increased myocardial contractility with hypertonic saline solutions in isolated blood-perfused rabbit hearts. Anesth Analg 81:777-782
14. Oi Y, Aneman A, Svensson M, Ewert S, Dahlqvist M, Haljamae H. Hypertonic saline-dextran improves intestinal perfusion and survival in porcine endotoxin shock (2000) Crit Care Med 28:2843-2850
15. Corso CO, Okamoto S, Leiderer R, Messmer K (1998) Resuscitation with hypertonic saline dextran reduces endothelial cell swelling and improves hepatic microvascular perfusion and function after hemorrhagic shock. J Surg Res 80:210-220
16. Maningas PA, Mattox KL, Pepe PE, Jones RL, Feliciano DV, Burch JM (1989) Hypertonic saline-dextran solutions for the prehospital management of traumatic hypotension. Am J Surg 157:528-533
17. Holcroft JW, Vassar MJ, Perry CA, Gannaway WL, Kramer GC (1989) Use of a 7.5% NaCl/6% Dextran 70 solution in the resuscitation of injured patients in the emergency room. Prog Clin Biol Res 299:331-338
18. Younes RN, Aun F, Accioly CQ, Casale LP, Szajnbok I, Birolini D (1992) Hypertonic solutions in the treatment of hypovolemic shock: a prospective, randomized study in patients admitted to the emergency room. Surgery 111:380-385
19. Hannemann L, Reinhart K, Korell R, Spies C, Bredle DL (1996) Hypertonic saline in stabilized hyperdynamic sepsis. Shock 5:130-134
20. Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, et al (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine. Chest 101:1644-1655
21. Rangel-Frausto MS, Pittet D, Costigan M, Hwang T, Davis CS, Wenzel RP (1995) The natural history of the systemic inflammatory response syndrome (SIRS). A prospective study. JAMA 273:117-123
22. Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985) APACHE II: A severity of disease classification system. Crit Care Med 13:818-829
23. Onarheim H (1995) Fluid shifts following 7% hypertonic saline (2400 mos-mol/l) infusion. Shock 3:350-354
24. Mazzoni MC, Borgstrom P, Arfors KE, Intaglietta M (1988) Dynamic fluid redistribution in hyperosmotic resuscitation of hypovolemic hemorrhage. Am J Physiol 255:H629-H637
25. Oliveira RP, Velasco IT, Soriano FG, Friedman G (2002) Clinical review: Hypertonic saline resuscitation in sepsis. Crit Care 6 (in press)
26. Friedman G, De Backer D, Shahla M, Vincent JL (1998) Oxygen supply dependency can characterize septic shock. Intensive Care Med 24:118-123
27. Friedman G, Berlot G, Kahn RJ, Vincent JL (1995) Combined measurements of blood lactate concentrations and gastric intramucosal pH in patients with severe sepsis. Crit Care Med 23:1184-1193
28. Messert B, Orrison WW, Hawkins MJ, Quaglieri CE (1979) Central pontine myelinolysis. Considerations on etiology, diagnosis, and treatment. Neurology 29:147-160
29. Kramer GC, Perron PR, Lindsey DC, Ho HS, Gunther RA, Boyle WA, et al (1986) Small-volume resuscitation with hypertonic saline dextran solution. Surgery 100:239-247
30. Walsh JC, Kramer GC (1991) Resuscitation of hypovolemic sheep with hypertonic saline/dextran: The role of dextran. Circ Shock 34:336-343
31. Smith GJ, Kramer GC, Perron P, Nakayama S, Gunther RA, Holcroft JW (1985) A comparison of several hypertonic solutions for resuscitation of bled sheep. J Surg Res 39:517-528
32. Holcroft JW, Vassar MJ, Perry CA, Gannaway WL, Kramer GC (1989) Perspectives on clinical trials for hypertonic saline/dextran solutions for the treatment of traumatic shock. Braz J Med Biol Res 22:291-293
33. Vassar MJ, Perry CA, Holcroft JW (1993) Prehospital resuscitation of hypotensive trauma patients with 7.5% NaCl versus 7.5% NaCl with added dextran: A controlled trial. J Trauma 34:622-632
34. Vassar MJ, Perry CA, Gannaway WL, Holcroft JW (1991) 7.5% Sodium chloride/dextran for resuscitation of trauma patients undergoing helicopter transport. Arch Surg 126:1065-1072
35. Mattox KL, Maningas PA, Moore EE, Mateer JR, Marx JA, Aprahamian C, et al (1991) Prehospital hypertonic saline/dextran infusion for post-traumatic hypotension. The USA Multicenter Trial. Ann Surg; 213:482-491
36. Armistead CW, Jr, Vincent JL, Preiser JC, De Backer D, Thuc LM (1989) Hypertonic saline solution-hetastarch for fluid resuscitation in experimental septic shock. Anesth Analg 69:714-720
37. Layon J, Duncan D, Gallagher TJ, Banner MJ (1987) Hypertonic saline as a resuscitation solution in hemorrhagic shock: Effects on extravascular lung water and cardiopulmonary function. Anesth Analg 66:154-158
38. Angle N, Hoyt DB, Coimbra R, Liu F, Herdon-Remelius C, Loomis W, et al (1998) Hypertonic saline resuscitation diminishes lung injury by suppressing neutrophil activation after hemorrhagic shock. Shock 9:164-170
39. Maciel F, Mook M, Zhang H, Vincent JL (1998) Comparison of hypertonic with isotonic saline hydroxyethyl starch solution on oxygen extraction capabilities during endotoxic shock. Shock 9:33-39