Hypovolemia Treatment in Surgical Patients Using Combined Solution in Infusion Therapy

S.N. Hrytsenko, S.N. Korohog, I.P. Pukha

Abstract


The paper deals with a problem of optimizing of infusion therapy included combined multiple electrolyte, colloid osmotic solution of a new generation (Geсoton®) for hypovolemia treatment the dehydrated patients after surgery. The study demonstrated that Gecoton® used 400 ml during 3 days combined with crystalloid solutions in surgical patients with 2 grade dehydration allowed treat hypovolemia, normalize hemodynamic parameters and reduce dehydration symptoms on the 2nd day.


Keywords


hypovolemia; dehydration; infusion therapy; Gecoton

References


Simon T.P., Schuerholz T., Haugvik S.P. et al. High molecular weight hydroxyethyl starch solutions are not more effective than a low molecular weight hydroxyethyl starch solution in a porcine model of septic shock // Minerva Anestesіol. — 2013. — 79(1). — 44-52.

Zaar M., Lauritzen В., Secher N.H. Initial administration or hydroxyethyl starch vs lactated Ringer after liver trauma in the pig // Br. J. Anaesth. — 2009. — 102(2). — 221-6.

Matharu N.M., Butler L.M., Rainger G.E. et al. Mechanisms of the anti-inflammatory effects of hydroxyethyl starch demonstrated in a flow-based model of neutrophil recruitment by endothelial cells // Crit. Care Med. — 2008. — 36(5). — 1536-42.

Kozek-Langenecker S.A., Jungheinrich C. et al. The effects of hydroxyethyl starch 130/0.4 (6%) on blood loss and use of blood pro­ducts in major surgery: a pooled analysis of randomized clinical trials // Anesth. Analg. — 2008. — 107(2). — 382-90.

Myburgh J.A., Mythen M.G. Resuscitation Fluids // N. Engl. J. Med. — 2013. — 369. — 1243-51.

Van Der Linden P., James M., Mythen M., Weiskopf R.B. Safety of modern starches used during surgery // Anesth. Analg. — 2013. — 116(1). — 35-48.

Gattas D.J., Dan A., Myburgh J. et al., CHEST Management Committee. Collaborators (18) Fluid resuscitation with 6% hydroxyethyl starch (130 0.4 and 130 0.42) in acutely ill patients: systematic review of effects on mortality and treatment with renal replacement therapy // Intensive Care Med. — 2013. — 39(4). — 558-68.

Gillies M.A., Habicher M., Jhanji S. et al. Incidence of postoperative death and acute kidney injury associated with i.v. 6% hydroxyethyl starch use: systematic review and meta-analysis // Br. J. Anaesth. — 2014. — 112(1). — 25-34.

Myburgh J.A., Finfer S., Bellomo R. et al. Hydroxyethyl starch or saline for fluid resuscitation in intensive care // N. Engl. J. Med. — 2012. — 367. — 1901-11.

Brunkhorst F.M., Engel C., Bloos F. et al. Intensive insulin therapy and pentastarch resuscitation in severe sepsis // N. Engl. J. Med. — 2008. — 358. — 125-39.

Van Der Linden P., James M., Mythen M., Weiskopf R.B. Safety of modern starches used during surgery // Anesth. Analg. — 2013. — 116(1). — 35-48.

Matharu N.M., Butler L.M., Rainger G.E. et al. Mechanisms of the anti-inflammatory effects of hydroxyethyl starch demonstrated in a flow-based model of neutrophil recruitment by endothelial cells // Crit. Care Med. — 2008. — 36(5). — 1536-42.

Стандарти організації професійно орієнтованих протоколів медичної допомоги хворим з невідкладною хірургічною патологією органів живота / За ред. Березницького Я.С., Фоміна П.Д. — К.: Товариство «Доктор-Медіа», 2010. — 470 с.

Zampien F.G., Park M., Azevedo L.C. Colloids in sepsis: evenly distributed molecules surrounded by uneven questions // Shock. — 2013. — 39 Suppl 1. — 42-9.




DOI: https://doi.org/10.22141/2224-0586.6.61.2014.83564

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 EMERGENCY MEDICINE

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2017

 

 Яндекс.МетрикаSeo анализ сайта Рейтинг@Mail.ru