0727. Normal saline versus ringer´s lactate in experimental sepsis
نویسندگان
چکیده
Methods Fourteen adult sheep (24-34 Kg) were anesthetized (midazolam, ketamine and morphine), mechanically ventilated and invasively monitored. A cecotomy was performed to collect autologous feces that were later reinjected into the peritoneal cavity through the abdominal wall to create abdominal sepsis. RL was administered during the surgical procedure. After baseline measurements, animals were randomly allocated to receive only NS or RL titrated to maintain pulmonary artery occlusion pressure at baseline level. Neither vasoactive agents nor antibiotics were used during the experiment. Animals were followed until death or for a maximum of 30 hours. Time-evolution for repeated measurement data was analyzed using a Generalized Estimating Equations approach in SPSS 19.0 (IBM) with a p < 0.05 considered as significant. Data are presented as median with inter-quartile range.
منابع مشابه
Effects of vasoactive drugs on crystalloid fluid kinetics in septic sheep
PURPOSE Crystalloid fluid and vasoactive drugs are used in the early treatment of sepsis. The purpose of the present study was to examine how these drugs alter plasma volume expansion, peripheral edema, and urinary excretion. METHODS Twenty-five anesthetized sheep were made septic by cecal puncture and a short infusion of lipopolysaccharide. After 50 min, a slow infusion of isotonic saline wa...
متن کاملمقایسه محلول رینگر و رینگر لاکتات به عنوان محلول اولیه گردش خون برون پیکری از نظر ایجاد اسیدوز متابولیک در بیماران کاندید عمل جراحی پیوند عروق کرونر
Background & Aims: Metabolic acidosis can be harmful and can complicate cardiopulmonary bypass (CPB) during coronary artery bypass graft surgery. We hypothesized that the pump prime can cause this disturbance. We compared effects of Ringer solution with Ringer Lactate, two types of priming fluid in producing metabolic acidosis in patients undergoing coronary artery bypass graft (CABG) ...Materi...
متن کاملRinger Acetate versus Ringer Lactate Cardioplegia: A comparative study in Mitral Valve Surgery
Background: Ringer lactate has long been used in many surgical procedures as one of the isotonic solutions. However, with the development of Ringer acetate, it becomes the crystalloid of choice owing to its main metabolism in muscles unlike lactate which is mainly in liver, also it corrects acidosis more rapidly than lactate and it needs less 02 and produces less CO2. Ringer acetate has also a ...
متن کاملSmall volume of hypertonic saline as the initial fluid replacement in experimental hypodynamic sepsis
INTRODUCTION We conducted the present study to examine the effects of hypertonic saline solution (7.5%) on cardiovascular function and splanchnic perfusion in experimental sepsis. METHODS Anesthetized and mechanically ventilated mongrel dogs received an intravenous infusion of live Escherichia coli over 30 minutes. After 30 minutes, they were randomized to receive lactated Ringer's solution 3...
متن کاملSerial absolute lactate value < 4 versus relative 10% reduction as a predictor of mortality in severe sepsis and septic shock
Introduction Serial lactate measurements provide a valuable tool to risk-stratify patients, determine the presence of ongoing tissue hypoperfusion, and potentially evaluate efficacy of therapeutic interventions. Prior studies have shown lactate clearance to be a valuable predictor of patient outcomes, however some have defined adequate change in lactate by a decrease from baseline by 10% wherea...
متن کامل