BACKGROUND The use of hypertonic crystalloid solutions, including sodium chloride and bicarbonate, for treating severe sepsis has been much debated in previous investigations. We have investigated the effects of three crystalloid solutions on fluid resuscitation in severe sepsis patients with hypotension. METHODS Ninety-four severe sepsis patients with hypotension were randomly assigned to th...

Objective: The adherence of the physicians to guidelines in resuscitation patients is great importance since it can predict outcome. To evaluate our center hydration traumatic with crystalloids regarding Advanced Trauma Life Support (ATLS) guidelines. Methods: We designed an algorithm obtained from ATLS using vital signs and status bleeding classify them. After categorizing according algorithm,...

A flexible but simple cardioplegic delivery system has been designed that offers the advantages of alternating antegrade and retrograde delivery or blood and crystalloid (Plegisol¿ solution) cardioplegia to optimize myocardial preservation. Initial antegrade delivery of crystalloid cardioplegic solution achieves rapid cardiac arrest while subsequent retrograde delivery with blood cardioplegia i...

BACKGROUND The Veterans Affairs (VA) population is considered to have generally poorer health than its non-VA counterpart. METHODS We reviewed our experience with 55 consecutive patients undergoing free tissue transfers for head and neck reconstruction at the Dallas VA Hospital between July 2000 and September 2006, with 6 months' follow-up. RESULTS The overall success rate was 93% (51 of 55...

Eosinophils are major effector cells in allergic inflammatory response. They are known to synthesize, store, and release a wide range of pro-inflammatory mediators. Eosinophils contain different populations of mediator-storage organelles, including small secretory vesicles as well as crystalloid granules. In cytolysis, eosinophil cell membrane loses its integrity and crystalloid granules are re...

REASONS FOR PERFORMING STUDY Cardiac output does not always increase with dobutamine administration in anaesthetised horses and information on peripheral perfusion is lacking. OBJECTIVES To determine the effect of intravenous (i.v.) dobutamine infusion with and without a concurrent 20 mL/kg bodyweight (bwt) bolus of crystalloid fluids on the cardiovascular function of acepromazine premedicate...

Severity of hemorrhage and rate of bleeding are fundamental factors in the outcomes of trauma. Intravenous administration of fluid is the basic treatment to maintain blood pressure until bleeding is controlled. The main guideline, used almost worldwide, Advanced Trauma Life Support, established by the American College of Surgeons in 1976, calls for aggressive administration of intravenous fluid...

Severe maxillofacial and neck trauma exposes patients to life threatening complications such as airway compromise and hemorrhagic shock. These conditions require rapid actions (diagnosis and management) and a strong interplay between surgeons and anesthesiologists. Effective airway management often makes the difference between life and death in severe maxillofacial and neck trauma and takes ini...

Background: Hypotension is commonly occurred with Spinal anesthesia. Colloids and Crystalloids are used preoperatively to prevent hypotension. Objective: To examine the effect of fluid (crystalloid vs. colloid) preloading on hemodynamic stability in old patients planned for lower limb orthopedic operations spinal Patients methods: Eighty undergoing surgery under anesthesia were included this wo...