Balanced Crystalloid Solution in Obstetrics
Pregnancy causes specific physiological changes in the cardiovascular system and the water balance, which need absolute exclusion errors in selecting the infusion therapy program. The purpose of the research was to establish the effect of normal pregnancy on water sector and to identify the body of their changes occurring under the influence of crystalloid solution used for infusion therapy of uncomplicated peripartum period. Materials and methods. A total of 95 women, among which there were 30 not pregnant (group 1) and 65 pregnant women at term 38–41 weeks of normal pregnancy (group 2) were observed. Depending on the patient’s infusion therapy during the peripartum period, group 2 was divided into two subgroups: an infusion prepared in 0.9% sodium chloride solution or isotonic solution sterofundin. Registration of changes of water areas and sectors of the body was performed non-invasively by integral bioimpedance method. Results and conclusions. In normal pregnancy until delivery, the total liquid volume was significantly increased by 22.6 % (p < 0.01) mainly due to an increased extracellular fluid volume. Simultaneously 32.3% increase (p < 0.01) in the interstitial volume and 17.3% increase (p < 0.01) in the intracellular fluid volume were registered that indicated the presence of tissue intracellular edema. In the background of infusion of 0.9% sodium chloride solution within 3 days of post-partum period both interstitial and intracellular edema of tissues continued to persist. Infusion of balanced crystalloid solution eliminates overhydration, which was formed in normal pregnancy, due to the normalization of both the volume of interstitial and intracellular fluid on day 3 of postpartum period.
Full Text:PDF (Українська)
Подольский Ю.С. Нарушение водных секторов у родильниц в эклампсической коме / Ю.С. Подольский, И.Х. Хапий // Анестезиология и реаниматология. — 2009. — № 2. — С. 185-186.
Allen S.J. Fluid therapy and outcome: balance is best / S.J. Allen // J. Extra Corpor. Tech. — 2014. — V. 46(1). — P. 28-32. — Available from: http://www.ncbi.nlm.nih.gov/pubmed/24779116.
A randomised, controlled, double-blind crossover study on the effects of 2-L infusions of 0.9% saline and plasma-lyte® 148 on renal blood flow velocity and renal cortical tissue perfusion in healthy volunteers / A.H. Chowdhury, E.F. Cox, S.T. Francis [et al.] // Ann. Surg. — 2012. — V. 256. — P. 18-24. — Режим доступу: http://www.ncbi.nlm.nih.gov/pubmed/22580944.
Association between a chloride-liberal vs chloride-restrictive intravenous fluid administration strategy and kidney injury in critically ill adults / N.M. Yunos, R. Bellomo, C. Hegarty [et al.] // JAMA. — 2012. — V. 308. — P. 1566-1572. — Режим доступу: http://www.ncbi.nlm.nih.gov/pubmed/23073953.
Chloride-liberal vs chloride-restrictive intravenous fluid administration and acute kidney injury: an extended analysis / N.M. Yunos, R. Bellomo, N. Glassford [et al.] // Intensive Care Med. — 2014. — V. 41. — P. 257-264. — Режим доступу: http://link.springer.com/10.1007/s00134-014-3593-0.
Effect of a Buffered Crystalloid Solution vs Saline on Acute Kidney Injury Among Patients in the Intensive Care Unit: The SPLIT Randomized Clinical Trial / P. Young, M. Bailey, R. Beasley [et al.] / JAMA. — 2015. — V. 314(16). — P. 1701-1710. — Режим доступу: doi: 10.1001/jama.2015.12334.
Forderungen und Erwartungen an einen optimalen Volumenersatz / R. Zander, H.A. Adams, J. Boldt [et al.] // Anasthesiol. Intensivmed. Notfallmed. Schmerzther. — 2005. — V. 40. — Druck. — P. 68.
Ickx B.E. Fluid and blood transfusion in obstetrics / B.E. Ickx // Eur. J. Anaesthesiology. — 2010. — V. 27. — P. 1031-1035.
Lira A. Choices in fluid type and volume during resuscitation: impact on patient outcomes / A. Lira, M.R. Pinsky // Annals of Intensive Care. — 2014. — V. 4. — P. 38. — Режим доступу: doi: 10.1186/s13613-014-0038-4.
Major complications, mortality, and resource utilization after open abdominal surgery: 0.9% saline compared to Plasma-Lyte / A.D. Shaw, S.M. Bagshaw, S.L. Goldstein [et al.] // Ann. Surg. — 2012. — V. 255(5). — P. 821-829. — Режим доступу: PMID: 22470070 DOI: 10.1097/SLA.0b013e31825074f5.
Zander R. Base Excess und Laktatkonzentration von Infusionslosungen und Blutprodukten / R. Zander // Anasthesiol. Intensivmed. Notfallmed. Schmerzther. — 2002. — V. 37. — P. 359-363.
Zander R. Fluid Management / R. Zander. — Medizinische Verlagsgesellschaft mbH, Melsungen, 2009. — 124 р.
Copyright (c) 2016 EMERGENCY MEDICINE
This work is licensed under a Creative Commons Attribution 4.0 International License.
© Publishing House Zaslavsky, 1997-2018