comparison of plasma viscosity following administration of albumin 5% in half-normal saline versus normal saline during minor surgeries
نویسندگان
چکیده
background: we aimed to compare the effect of albumin 5% in half normal saline (half ns) versus normal saline (ns) infusion on the plasma viscosity in the near-normal physiological condition. according to the high oncotic pressure of albumin along with prolonged half-life of its molecules in comparison to ns in the intra-vascular compartment, it has been proposed that a more significant reduction of the plasma viscosity might be expected after the infusion of albumin. methods: a total of 56 patients referring to the general operating room for their elective minor surgeries were evenly divided into two groups (v1, v2). it was calculated that 28 patients were needed to be enroll in each study group to detect a difference as big as 0.15 millipoise (mpa.s) with a statistical power of 80%. the v1 group received 1000 ml of ns but the v2 group received 1000 ml of recombinant albumin 5% in half ns within one hour, as fluid replacement therapy, during the intra-operative period. we have designed a simple measurement system according to poiseuille’s formula by which the viscosity value could be measured reliably since the system was calibrated frequently using distilled water as a reference. results: the mean value of the pre-operative plasma viscosity of the patients was 1. 73 ± 0.25 mpa.s and 1.76 ± 0.21 mpa.s in v1 and v2 groups respectively. after the infusion of the fluids, the mean viscosity values decreased to 1. 68 ± 0.30 mpa.s and 1.66 ± 0.17mpa.s in v1 and v2 groups respectively (p= 0.37).
منابع مشابه
Hypertonic 3% Saline in Comparison with 0.9% (Normal) Saline in Treatment of Acute Bronchiolitis
BackgroundBronchiolitis is the commonest cause of lower respiratory tract infection in infant. Respiratory syncytial virus is the commonest cause of bronchiolitis. This study aimed to assess the efficacy of nebulized 3% hypertonic saline and salbutamol in the treatment of acute bronchiolitis in comparison with nebulized 0.9% saline and salbutamol.Materials and MethodsA prospective case second m...
متن کاملNormal Saline Versus Hypertonic 3% Saline: It’s Efficacy in Non-Acute Rhinosinusitis
Introduction: Sinusitis is one of the most common diseases in general and in otolaryngology practice, but the optimal therapeutic options have not yet been fully developed. This manuscript will try to compare normal saline nasal douching with hypertonic saline in reducing symptoms and improving its signs. Materials and Methods: One hundred and fourteen patients suffering from non acute rhin...
متن کاملComparison of Normal Saline, Hypertonic Saline Albumin and Terlipressin plus Hypertonic Saline Albumin in an Infant Animal Model of Hypovolemic Shock
INTRODUCTION In series of cases and animal models suffering hemorrhagic shock, the use of vasopressors has shown potential benefits regarding hemodynamics and tissue perfusion. Terlipressin is an analogue of vasopressin with a longer half-life that can be administered by bolus injection. We have previously observed that hypertonic albumin improves resuscitation following controlled hemorrhage i...
متن کاملHalf-Saline versus Combined Normal Saline and 1/3–2/3 Intravenous Fluid Therapy in Kidney Transplantation
BACKGROUND Sufficient intravascular volume should be established for optimal graft function after renal transplantation. However, there is no recommendation for the type of fluid therapy post-operatively. We compared half-saline vs. normal saline and 1/3-2/3 intravenous fluid replacement after renal transplantation. METHODS We enrolled all patients who underwent kidney transplantation between...
متن کاملHeparinised saline versus normal saline in the maintenance of invasive arterial lines in intensive care
Intr Maintaining the patency of arterial lines is essential for obtaining accurate physiological measurements, enabling blood sampling and minimising the time, expense and patient discomfort incurred by line replacement. HS is commonly used to maintain and prolong arterial line patency. In 2008, a National Patient Safety Agency alert advised organisations to minimise its use for this purpose fo...
متن کاملThe comparison of hypertonic saline (7.5%) and normal saline (0.9%) for initial fluid administration before spinal anesthesia.
Hypertonic saline can be used for initial fluid administration before spinal anesthesia. It is effective in small-volume fluid resuscitation. This randomized double-blinded study compared the effects of 7.5% hypertonic saline (HS) and 0.9% normal saline (NS) in doses containing 2 mmol/kg of sodium in 40 ASA physical status I-II patients undergoing arthroscopy or other lower limb surgery under s...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
archives of anesthesiology and critical careجلد ۱، شماره ۱، صفحات ۳-۷
کلمات کلیدی
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023