Effects of different hypertonic saline in fluid resuscitation on hemodynamics in traumatic rabbits with hemorrhagic shock
CSTR:
Author:
  • Article
  • | |
  • Metrics
  • |
  • Reference [15]
  • |
  • Related
  • |
  • Cited by
  • | |
  • Comments
    Abstract:

    Objective To study the effects of different hypertonic saline (4.5% and 7.5%) in fluid resuscitation on hemodynamics in traumatic rabbits with hemorrhagic shock. Methods Thirty-two healthy rabbits (male or female, 2.0-3.0 kg body weight) were divided into 4 groups randomly: SHAM group, SWT group (shock without treatment), 4.5% group (resuscitation with 4.5% hypertonic saline), and 7.5% group (resuscitation with 7.5% hypertonic saline), 8 rabbits in each group. The rabbit model of uncontrolled hemorrhagic shock was established after anesthesia. The fluid used in the two methods of fluid resuscitation was infused into the rabbits at designed times. The hemodynamic data including the left intraventricular systolic pressure (LVSP) and maximal change rate of left intraventricular pressure (±dp/dtmax) were determined at 0 min, 30 min, 60 min, and 90 min. Results (1) The rabbit models of uncontrolled hemorrhagic shock were generated successfully. At 30 min, data of SWT in the 4.5% and 7.5% groups had no significant difference through pairwise comparison (P>0.05). (2) The hemodynamic parameters changed similarly during the experiment. At 60 min, the values of the 7.5% group (LVSP=115.00±8.37 mmHg, +dp/dtmax=4.29±0.50 mmHg/ms, -dp/dtmax=-3.25±0.25 mmHg/ms) were significantly higher than those in the 4.5% group ((LVSP=104.14±7.73 mmHg, +dp/dtmax=3.35±0.39 mmHg/ms, -dp/dtmax=-2.27±0.12 mmHg/ms) (P<0.05). At 90 min, the data of the 7.5% group were higher, but statistically not significantly different (P>0.05). Conclusions Fluid resuscitation can improve the hemodynamic function in traumatic rabbits with uncontrolled hemorrhagic shock. Comparing with the 4.5% hypertonic saline, 7.5% hypertonic saline can improve the hemodynamic function more apparently. Our results may provide an experimental support for the treatment of clinical patients with uncontrolled hemorrhagic shock.

    Reference
    [1] 褚万立, 刘军英, 刘雪峰, 等. 失血性休克大鼠模型的改进及胃黏膜血流量的测定[J]. 中国实验动物学报, 2008, 16(1):6-9.
    [2] Luiz Zanoni F, Costa Cruz JW, Martins JO, et al. Hypertonic saline solution reduces mesenteric microcirculatory dysfunctions and bacterial translocation in a rat model of strangulated small bowel obstruction[J]. Shock, 2013, 40(1):35-44.
    [3] Wolfgang GJ, Shawn GR, Sandro BR, et al. Prehospital hypertonic saline resuscitation attenuates the activation and promotes apoptosis of neutrophils in patients with severe traumatic brain injury[J]. Shock, 2013, 40(5):366-374.
    [4] Frithiof R, Ramchandra R, Hood SG, et al. Hypertonic sodium resuscitation after hemorrhage improves hemodynamic function by stimulating cardiac, but not renal, sympathetic nerve activity[J]. Am J Physiol Heart Circ Physiol, 2011, 300(2):H685-692.
    [5] 中华医学会重症医学分会. 低血容量休克复苏指南(2007)[J]. 中国危重病急救医学, 2008, 20(3):129-134.
    [6] Legrand M, Mik EG, Balestra GM, et al. Fluid resuscitation does not improve renal oxygenation during hemorrhagic shock in rats[J]. Anesthesiology, 2010, 112(1):l19-127.
    [7] Moore FA, McKinley BA, Moore EE. The next generation in shock resuscitation[J]. Lancet, 2004, 363(9425): 1988-1996.
    [8] Durusu M, Eryilmaz M, OztÜrk G, et al. Comparison of permissive hypotensive resuscitation, low-volume fluid resuscitation, and aggressive fluid resuscitation therapy approaches in an experimental uncontrolled hemorrhagic shock model[J]. Turkish J Trauma Emerg Surg, 2010, 16(3): 191.
    [9] Meybohm P, Cavus E, Bein B, et al. Small volume resuscitation: a randomized controlled trial with either norepinephrine or vasopressin during severe hemorrhage[J]. J Trauma, 2007, 62(3): 640-646.
    [10] 王海霞, 李永明, 周华成. 低压复苏对非控制出血性休克抢救效果的探讨[J]. 中国比较医学杂志, 2008, 18(4):14-17.
    [11] Zhang YM, Gao B, Wang JJ, et al. Effect of hypotensive resuscitation with a novel combination of fluids in a rabbit model of uncontrolled hemorrhagic shock[J]. Plos ONE, 2013, 8(6): 1-10.
    [12] 杜鹏飞, 朱海彬, 赵会民. 不同补液强度对重度失血性休克早期血清乳酸及钾的影响[J]. 中国急救医学, 2013, 3(5):462-464.
    [13] 陈唐葶, 周翔, 王立群, 等. 急性心肌缺血大鼠心肌α辅肌动蛋白含量变化及其与心功能的关系[J]. 南方医科大学学报, 2011, 31(6): 970-974.
    [14] 李荣国, 王剑, 王小欧, 等. 7.5%高渗盐水用于创伤性失血性休克早期复苏的观察[J]. 现代临床医学, 2012, 38(3):182-184.
    [15] 尹文. 创伤失血性休克早期复苏的几个关键问题[J]. 创伤外科杂志, 2013, 15(6): 485-488.
    Related
    Cited by
Get Citation
Share
Article Metrics
  • Abstract:1652
  • PDF: 1751
  • HTML: 0
  • Cited by: 0
History
  • Revised:September 01,2014
  • Online: October 29,2014
Article QR Code