Microcirculatory parameters after isotonic and hypertonic colloidal fluid resuscitation in acute hemorrhagic shock

Journal of Trauma - Injury, Infection and Critical Care

Volumn 66, Issue 2, 2009, Pages 337-345

  Maier, Stephan ^a   Holz Hölzl, Carmen ^a   Pajk, Werner ^a   Ulmer, Hanno ^b   Hengl, Christian ^a   Dünser, Martin ^c   Haas, Thorsten ^a   Velik Salchner, Corinna ^a   Fries, Dietmar ^a   Greiner, Andreas ^b   Hasibeder, Walter ^d   Knotzer, Hans ^a  

^a UNIVERSITY HOSPITAL INNSBRUCK   (Austria)

^b INNSBRUCK MEDICAL UNIVERSITY   (Austria)

^c UNIVERSITY OF BERN   (Switzerland)

^d NONE   (Austria)

Author keywords

Gelatine; Hydroxyethylstarch; Hypertonic saline; Laser Doppler flowmetry; Side dark field imaging; Tissue reflectance spectrophotometry

Indexed keywords

GELATIN; HETASTARCH; LACTIC ACID; SODIUM CHLORIDE;

ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; BLOOD GAS; BLOOD VOLUME; CONTROLLED STUDY; FLUID RESUSCITATION; HEART OUTPUT; HEMODYNAMICS; HEMORRHAGIC SHOCK; LASER DOPPLER FLOWMETRY; MICROCIRCULATION; NONHUMAN; OXYGEN SATURATION; PRIORITY JOURNAL; SPECTROPHOTOMETRY; SWINE; ANALYSIS OF VARIANCE; ANIMAL; COLLOID; FLUID THERAPY; METHODOLOGY; PATHOPHYSIOLOGY; PHYSIOLOGY; RESUSCITATION;

ANALYSIS OF VARIANCE; ANIMALS; COLLOIDS; FLUID THERAPY; GELATIN; HEMODYNAMICS; HETASTARCH; MICROCIRCULATION; RESUSCITATION; SALINE SOLUTION, HYPERTONIC; SHOCK, HEMORRHAGIC; SWINE;

EID: 67651148187     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e31817dac66     Document Type: Article

References (42)

1. Bisonni RS, Holtgrave DR, Lawler F, Marley DS. Colloids versus crystalloids in fluid resuscitation: an analysis of randomized controlled trials. J Fam Pract. 1991;32:387-390.
2. Choi PT, Yip G, Quinonez LG, Cook DJ. Crystalloids vs. colloids in fluid resuscitation: a systematic review. Crit Care Med. 1999;27:200-210. (Pubitemid 29052838)
3. Velanovich V. Crystalloid versus colloid fluid resuscitation: a meta-analysis of mortality. Surgery. 1989;105:65-71. (Pubitemid 19025085)
4. Schierhout G, Roberts I. Fluid resuscitation with colloid or crystalloid solutions in critically ill patients: a systematic review of randomised trials. BMJ. 1998;316:961-964. (Pubitemid 28135143)
5. Knotzer H, Pajk W, Maier S, et al. Comparison of lactated Ringer's, gelatine and blood resuscitation on intestinal oxygen supply and mucosal tissue oxygen tension in haemorrhagic shock. Br J Anaesth. 2006;97:509-516. (Pubitemid 44419966)
6. Nolan J. Fluid replacement. Br Med Bull. 1999;55:821-843.
7. Boldt J. Fluid choice for resuscitation of the trauma patient: a review of the physiological, pharmacological, and clinical evidence. Can J Anaesth. 2004;51:500-513. (Pubitemid 38594375)
8. Wade CE, Grady JJ, Kramer GC. Efficacy of hypertonic saline dextran fluid resuscitation for patients with hypotension from penetrating trauma. J Trauma. 2003;54:S144-S148.
9. Kreimeier U, Bruckner UB, Niemczyk S, Messmer K. Hyperosmotic saline dextran for resuscitation from traumatic-hemorrhagic hypotension: effect on regional blood flow. Circ Shock. 1990;32:83-99. (Pubitemid 20386099)
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. 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.
12. Thompson R, Greaves I. Hypertonic saline-hydroxyethyl starch in trauma resuscitation. J R Army Med Corps. 2006;152:6-12.
13. Boldt J. Volume replacement in the surgical patient - does the type of solution make a difference? Br J Anaesth. 2000;84:783-793.
14. Spahn DR, Cerny V, Coats TJ, et al. Management of bleeding following major trauma: a European guideline. Crit Care. 2007;11:412. (Pubitemid 46476328)
15. Lehr HA, Bittinger F, Kirkpatrick CJ. Microcirculatory dysfunction in sepsis: a pathogenetic basis for therapy? J Pathol. 2000;190:373-386. (Pubitemid 30141383)
16. Dhainaut JF, Shorr AF, Macias WL, et al. Dynamic evolution of coagulopathy in the first day of severe sepsis: relationship with mortality and organ failure. Crit Care Med. 2005;33:341-348.
17. Deitch EA, Dayal SD. Intensive care unit management of the trauma patient. Crit Care Med. 2006;34:2294-2301. (Pubitemid 44260012)
18. Rackow EC, Falk JL, Fein IA, et al. 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. 1983;11:839-850.
19. Rittoo D, Gosling P, Bonnici C, et al. Splanchnic oxygenation in patients undergoing abdominal aortic aneurysm repair and volume expansion with eloHAES. Cardiovasc Surg. 2002;10:128-133. (Pubitemid 34219060)
20. Lang K, Boldt J, Suttner S, Haisch G. Colloids versus crystalloids and tissue oxygen tension in patients undergoing major abdominal surgery. Anesth Analg. 2001;93:405-409, 403rd contents page. (Pubitemid 32701540)
21. Vollmar MD, Preissler G, Menger MD. Small-volume resuscitation restores hemorrhage-induced microcirculatory disorders in rat pancreas. Crit Care Med. 1996;24:445-450. (Pubitemid 26097837)
22. Vajda K, Szabo A, Boros M. Heterogeneous microcirculation in the rat small intestine during hemorrhagic shock: quantification of the effects of hypertonic-hyperoncotic resuscitation. Eur Surg Res. 2004;36:338-344. (Pubitemid 39664193)
23. Messmer K, Kreimeier U. Microcirculatory therapy in shock. Resuscitation 1989;18(suppl):S51-S61.
24. Sato N, Kamada T, Shichiri M, Kawano S, Abe H, Hagihara B. Measurement of hemoperfusion and oxygen sufficiency in gastric mucosa in vivo. Evidence of mucosal hypoxia as the cause of hemorrhagic shock-induced gastric mucosal lesion in rats. Gastroenterology. 1979;76:814-819. (Pubitemid 9166767)
25. Frank KH, Kessler M, Appelbaum K, Dümmler W. The Erlangen micro-lightguide spectrophotometer EMPHO I. Phys Med Biol. 1989;34:1883-1900.
26. Boerma EC, Mathura KR, van der Voort PH, Spronk PE, Ince C. Quantifying bedside-derived imaging of microcirculatory abnormalities in septic patients: a prospective validation study. Crit Care. 2005;9:R601-R606.
27. Lomas-Niera JL, Perl M, Chung CS, Ayala A. Shock and hemorrhage: an overview of animal models. Shock. 2005;24(suppl 1):33-39. (Pubitemid 43756016)
28. Burton A. The vascular bed. In: Physiology and Biophysics of the Circulation. Chicago, IL: Year Book Medical; 1965.
29. Gandjbakhche AH, Bonner RF, Arai AE, Balaban RS. Visible-light photon migration through myocardium in vivo. Am J Physiol. 1999;277:H698-H704.
30. Dubin A, Estenssoro E, Murias G, et al. Effects of hemorrhage on gastrointestinal oxygenation. Intensive Care Med. 2001;27:1931-1936.
31. Reed RL II, Johnston TD, Chen Y, Fischer RP. Hypertonic saline alters plasma clotting times and platelet aggregation. J Trauma. 1991;31:8-14.
32. Wade CE, Hannon JP, Bossone CA, et al. Resuscitation of conscious pigs following hemorrhage: comparative efficacy of small-volume resuscitation. Circ Shock. 1989;29:193-204.
33. Wade CE, Dubick MA, Grady JJ. Optimal dose of hypertonic saline/dextran in hemorrhaged swine. J Trauma. 2003;55:413-416.
34. Reed LL, Manglano R, Martin M, Hochman M, Kocka F, Barrett J. The effect of hypertonic saline resuscitation on bacterial translocation after hemorrhagic shock in rats. Surgery. 1991;110:685-688; discussion 688-690.
35. Behrman SW, Fabian TC, Kudsk KA, Proctor KG. Microcirculatory flow changes after initial resuscitation of hemorrhagic shock with 7.5% hypertonic saline/6% dextran 70. J Trauma. 1991;31:589-598; discussion 599-600.
36. Reinhart K, Rudolph T, Bredle DL, Cain SM. O2 uptake in bled dogs after resuscitation with hypertonic saline or hydroxyethylstarch. Am J Physiol. 1989;257:H238-H243. (Pubitemid 19191883)
37. Chiara O, Pelosi P, Brazzi L, et al. Resuscitation from hemorrhagic shock: experimental model comparing normal saline, dextran, and hypertonic saline solutions. Crit Care Med. 2003;31:1915-1922. (Pubitemid 36900744)
38. Braz JR, do Nascimento P Jr, Paiva Filho O, et al. The early systemic and gastrointestinal oxygenation effects of hemorrhagic shock resuscitation with hypertonic saline and hypertonic saline 6% dextran-70: a comparative study in dogs. Anesth Analg. 2004;99:536-546, table of contents.
39. Rowell L. General Principles of Vascular Control. New York: Oxford University Press; 1986.
40. Creteur J, De Backer D, Sakr Y, Koch M, Vincent JL. Sublingual capnometry tracks microcirculatory changes in septic patients. Intensive Care Med. 2006;32:516-523.
41. Lipowsky HH. Microvascular rheology and hemodynamics. Microcirculation. 2005;12:5-15.
42. Baskurt OK, Meiselman HJ. Blood rheology and hemodynamics. Semin Thromb Hemost. 2003;29:435-450.