Acid base and electrolyte changes after hypertonic saline (7.5%) infusion: A randomized controlled clinical trial

Scandinavian Journal of Clinical and Laboratory Investigation

Volumn 65, Issue 1, 2005, Pages 13-22

  Kolsen Petersen, Jens Aage ^a   Nielsen, J O D ^a   Tonnesen, E ^b  

^a VIBORG HOSPITAL   (Denmark)

^b AARHUS UNIVERSITY HOSPITAL   (Denmark)

Author keywords

Acid base equilibrium; Carbon dioxide; Human; Hypertonic; Potassium; Saline solution; Sodium

Indexed keywords

CARBON DIOXIDE; CHLORIDE; ELECTROLYTE; OXYGEN; POTASSIUM; SODIUM; SODIUM CHLORIDE;

ACID BASE BALANCE; ADULT; AGED; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; FEMALE; HEMODYNAMICS; HUMAN; PH; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL;

ACIDS; ADOLESCENT; ADULT; AGED; DOUBLE-BLIND METHOD; ELECTROLYTES; FEMALE; HUMANS; INFUSIONS, INTRAVENOUS; MIDDLE AGED; OXYGEN; SALINE SOLUTION, HYPERTONIC; WATER-ELECTROLYTE BALANCE;

EID: 14044268145     PISSN: 00365513     EISSN: None     Source Type: Journal    
DOI: 10.1080/00365510410003138     Document Type: Article

References (29)

1. Wade C, Grady J, Kramer G. Efficacy of Hypertonic saline dextran (HSD) in patients with traumatic hypotension: meta-analysis of individual patient data. Acta Anaesthesiol Scand 1997;Suppl 110:77-9.
2. Oliveira RP, Velasco I, Soriano F, Friedman G. Clinical review: Hypertonic saline resuscitation in sepsis. Grit Care 2002;6:418-23.
3. Doyle JA, Davis DP, Hoyt DB. The use of Hypertonic saline in the treatment of traumatic brain injury. J Trauma 2001;50:367-83.
4. Mustafa I, Leverve XM. Metabolic and hemodynamic effects of Hypertonic solutions: sodium-lactate versus sodium chloride infusion in postoperative patients. Shock 2002;18:306-10.
5. Jarvela K, Kaukinen S. Hypertonic saline (7.5%) after coronary artery bypass grafting. Eur J Anaesthesiol 2001;18:100-7.
6. 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.
7. 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;42:145-53.
8. Read RC, Johnson JA, Vick JA, Meyer MW. Vascular effects of Hypertonic solutions. Circulation Res 1960;8:538-48.
9. Rowe GG, McKenna DH, Corliss RJ, Sialer S. Hemodynamic effects of Hypertonic sodium chloride. J Appl Physiol 1972;32:182-4.
10. Kreimeier U, Brueckner UB, Schmidt J, Messmer K. Instantaneous restoration of regional organ blood flow after severe hemorrhage: effect of small-volume resuscitation with hypertonic-hyperoncotic solutions. J Surg Res 1990;49:493-503.
11. Mazzoni MC, Borgstrom P, Intaglietta M, Arfors KE. Capillary narrowing in hemorrhagic shock is rectified by hyperosmotic saline-dextran reinfusion. Circ Shock 1990;31:407-18.
12. Schimetta W, Schochl H, Kroll W, Polz W, Polz G, Mauritz W. Safety of Hypertonic hyperoncotic solutions: a survey from Austria. Wien Klin Wochenschr 2002;114:89-95.
13. Vassar MJ, Perry CA, Holcroft JW. Analysis of potential risks associated with 7.5% sodium chloride resuscitation of traumatic shock (published erratum appears in Arch Surg 1991;126:43). Arch Surg 1990;125:1309-15.
14. Vassar MJ, Perry CA, Holcroft JW. Analysis of potential risks associated with 7.5% sodium chloride resuscitation of traumatic shock (published erratum appears in Arch Surg 1991;126:43). Arch Surg 1990;125:1309-15.
15. Kramer GC, Perron PR, Lindsey DC, Ho HS, Gunther RA, Boyle WA, et al. Small-volume resuscitation with hypertonic saline dextran solution. Surgery 1986;100:239-47.
16. Mattox KL, Maningas PA, Moore EE, Mateer JR, Marx JA, Aprahamian C, et al. Prehospital Hypertonic saline/dextran infusion for post-traumatic hypotension. The USA Multicenter Trial. Ann Surg 1991;213:482-91.
17. Oliveira RP, Weingartner R, Ribas EO, Moraes RS, Friedman G. Acute haemodynamic effects of a Hypertonic saline/dextran solution in stable patients with severe sepsis. Intensive Care Med 2002;28:1574-81.
18. Stewart PA. Modern quantitative acid-base chemistry. Can J Physiol Pharmacol 1983;61:1444-61.
19. Figge J, Mydosh T, Fencl V. Serum proteins and acid-base equilibria: a follow-up. J Lab Clin Med 1992;120:713-9.
20. Kreimeier U, Messmer K. Small-volume resuscitation: from experimental evidence to clinical routine. Advantages and disadvantages of hypertonic solutions. Acta Anaesthesiol Scand 2002;46:625-38.
21. Burnell JM, Scribner BH, Uyeno BT, Villamil MF. The effect in humans of extracellular pH change on the relationship between serum potassium concentration and intracellular potassium. J Clin Invest 1956;35:935-9.
22. Conte G, Dal Canton A, Imperatore P, De Nicola L, Gigliotti G, Pisanti N, et al. Acute increase in plasma osmolality as a cause of hyperkalemia in patients with renal failure. Kidney Int 1990;38:301-7.
23. Seto A, Murakami M, Fukuyama H, Niijima K, Aoyama K, Takenaka I, et al. Ventricular tachycardia caused by hyperkalemia after administration of hypertonic mannitol. Anesthesiology 2000;93:1359-61.
24. Moore GL, Summary JJ, Dubick MA, Ledford ME, Ryan BA, Gonzales A, et al. Effects of hypertonic saline (7.5%)/dextran 70 on human red cell typing, lysis, and metabolism in vitro. Vox Sang 1990;59:227-31.
25. Jarvela K, Koskinen M, Koobi T. Effects of hypertonic saline (7.5%) on extracellular fluid volumes in healthy volunteers. Anaesthesia 2003;58:878-81.
26. Scheingraber S, Rehm M, Sehmisch C, Finsterer U. Rapid saline infusion produces hyperchloremic acidosis in patients undergoing gynecologic surgery. Anesthesiology 1999;90:1265-70.
27. Waters JH, Miller LR, Clack S, Kim JV. Cause of metabolic acidosis in prolonged surgery. Crit Care Med 1999;27:2142-6.
28. McFarlane C, Lee A. A comparison of plasmalyte 148 and 0.9% saline for intra-operative fluid replacement. Anaesthesia 1994;49:779-81.
29. Kramer GC. Hypertonic resuscitation: physiologic mechanisms and recommendations for trauma care. J Trauma 2003;54:S89-S99.