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Fluid administration rate for uncontrolled intraabdominal hemorrhage in swine.


ABSTRACT: BACKGROUND:We hypothesized that slow crystalloid resuscitation would result in less blood loss and a smaller hemoglobin decrease compared to a rapid resuscitation during uncontrolled hemorrhage. METHODS:Anesthetized, splenectomized domestic swine underwent hepatic lobar hemitransection. Lactated Ringers was given at 150 or 20 mL/min IV (rapid vs. slow, respectively, N = 12 per group; limit of 100 mL/kg). Primary endpoints were blood loss and serum hemoglobin; secondary endpoints included survival, vital signs, coagulation parameters, and blood gases. RESULTS:The slow group had a less blood loss (1.6 vs. 2.7 L, respectively) and a higher final hemoglobin concentration (6.0 vs. 3.4 g/dL). CONCLUSIONS:Using a fixed volume of crystalloid resuscitation in this porcine model of uncontrolled intraabdominal hemorrhage, a slow IV infusion rate produced less blood loss and a smaller hemoglobin decrease compared to rapid infusion.

SUBMITTER: Yanala UR 

PROVIDER: S-EPMC6264836 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Fluid administration rate for uncontrolled intraabdominal hemorrhage in swine.

Yanala Ujwal R UR   Johanning Jason M JM   Pipinos Iraklis I II   High Robin R RR   Larsen Gustavo G   Velander William H WH   Carlson Mark A MA  

PloS one 20181129 11


<h4>Background</h4>We hypothesized that slow crystalloid resuscitation would result in less blood loss and a smaller hemoglobin decrease compared to a rapid resuscitation during uncontrolled hemorrhage.<h4>Methods</h4>Anesthetized, splenectomized domestic swine underwent hepatic lobar hemitransection. Lactated Ringers was given at 150 or 20 mL/min IV (rapid vs. slow, respectively, N = 12 per group; limit of 100 mL/kg). Primary endpoints were blood loss and serum hemoglobin; secondary endpoints i  ...[more]

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