Naslov
Administration of hypertonic saline-dextran solutions for hospital treatment of severe war injuries

Autori
Žunić, Josip ; Šikić, Nino ; Jerinić, Darko ; Vergot, Zlatko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
British Journal of Anaesthesia Abstract book European Society of Anaesthesiologists Annual Congress Abstracts London, 1-5 June, 1996 / G. Smith - London : Delhi : Oxford Journals, 1996, 115-115

Skup
European Society of Anaesthesiologists Annual Congress

Mjesto i datum
London, Ujedinjeno Kraljevstvo, 01.07.1996. - 05.07.1996

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
hypertonic solutions; war; injuries

Sažetak
Aim: effects of rapid small volume hypertonic sodium chloride (7, 5%) and dextran (10%) solutions administration on stabilisation of systolic blood pressure (>100 mm Hg). Materials & Methods. 1. Retrospective analysis of 44 critically injuried war victims with signs of traumatic shock (SAP<90 mm Hg). 2. Therapy: 1) 4 ml/kg bw of 7, 5% NaCl infused in 5 minutes ; 2) 20 ml dextran 1 ; 3) dextran 40 (500 - 1000 ml) for 20-60 minutes. 3. Analysis: age, site of injury, time for increasing systolic blood pressure over 100 mg Hg, changes sodium concentration in serum and plasma osmolality (initial and 2 hours later). 3. Results. Initial serum sodium level: 141, 4 +/-5.0 mmol/L and 2 hours later 152, 9+/-6, 2 (P=0, 000) ; serum osmolity: initial 287, 6+/-5, 8 mOsm/kg and 2 hours later 335, 6+/-19, 7 (P=0, 000). Conclusion. The use of hypertonic and hyperoncotic solutions has not been precisely determined but it can be significant in rapid stabilisation of central hemodynamic circulation. Increased average sodium level after infusion of hypertonic sodium chloride has no clinical significance.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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