INFLUENCE OF INFUSION SOLUTIONS ON CIRCULATING BLOOD VOLUME WITH DIFFERENT ROUTES OF ADMINISTRATION INTO ANIMALS
K.Yu. Krenyov1, L.I. Stepanova2, N.S. Nikitina2, A.I. Sukhodolya3
- KNP “Khmelnytskyi Regional Hospital” of the Khmelnytskyi Regional Council, Ukraine
- Educational and Scientific Center «Institute of Biology and Medicine», Taras Shevchenko National University of Kyiv, Ukraine
- Vinnytsia National Pirogov Memorial Medical University,
DOI: https://doi.org/10.15407/fz70.01.060
Abstract
The choice of solution for the initial infusion therapy to restore
the volume of circulating blood (CBV) has been a subject
of debate for many years. The purpose of our study was to
compare the effect of different routes of administration of
infusion solutions on CBV. The study was conducted on 250
rats weighing 200-260 g and aged 3-4 months. Animals were
born from different females. The dynamics of the neutral red
concentration in the gastric perfusate were measured using a
0.9% sodium chloride solution and a 10% albumin solution,
which were administered in three different ways. It was established that the intravenous administration of a 0.9% sodium
chloride solution at the 60th minute of the experiment reduced
the concentration of an aqueous solution of neutral red in the
gastric perfusate by 35%, and a 10% albumin solution by 22%
compared to the control. This indicates an increase in CBV.
When a 0.9% solution of sodium chloride was administered
intraosseously, the concentration of an aqueous solution of
neutral red significantly decreased by 33% at the 45th minute
and by 44% at the 60th minute. On the other hand, under the
influence of 10% albumin solution, CBV decreased by 22%
at the 45th minute and by 41% at the 60th minute, but not significantly compared to the control. Therefore, the use of these
solutions causes an increase in CBV in experimental animals
both when administered intravenously and intraosseously, that
is, it has similar hemodynamic effects. The retroperitoneal
route of administration did not affect CBV changes.
Keywords:
circulating blood volume; albumin; 0.9% sodium chloride.
References
- Persona P, Valeri I, Saraceni E, De Cassai A, Calabrese F, Navalesi P. Cardiac output evaluation on septic shock patients: comparison between calibrated and uncalibrated devices during vasopressor therapy. J Clin Med. 2021 Jan 9;10(2):213.
CrossRef
PubMed PubMedCentral
- Kaufman DA, Lopes M, Maviya N, Magder SA. The ins and outs of IV fluids in hemodynamic resuscitation. Crit Care Med. 2023 Oct 1;51(10):1397-406.
CrossRef
PubMed
- Kendrick JB, Kaye AD, Tong Y, Belani K, Urman RD, Hoffman C, Liu H. Goal-directed fluid therapy in the perioperative setting. J Anaesthesiol Clin Pharmacol. 2019 Apr;35(Suppl 1):S29-S34.
CrossRef
PubMed PubMedCentral
- Zampieri FG, Bagshaw SM, Semler MW. Fluid therapy for critically ill adults with sepsis: A review. JAMA. 2023 Jun 13;329(22):1967-80.
CrossRef
PubMed
- Wang F, Qiang X, Jiang S, Shao J, Fang B, Zhou L. The fluid management and hemodynamic characteristics of PiCCO employed on young children with severe hand, foot, and mouth disease-a retrospective study. BMC Infect Dis. 2021 Feb 25;21(1):208.
CrossRef
PubMed PubMedCentral
- Hahn RG, Nilsson L, Bahlmann H. Predicting fluid responsiveness using esophagus Doppler monitoring and pulse oximetry derived pleth variability index; retrospective analysis of a hemodynamic study. Acta Anaesthesiol Scand. 2023 Sep;67(8):1037-44.
CrossRef
PubMed
- Karlsson J, Hallbäck M, Svedmyr A, Lönnqvist PA, Wallin M. Standardized blood volume changes monitored by capnodynamic hemodynamic variables: An experimental comparative study in pigs. Acta Anaesthesiol Scand. 2023 Aug;67(7):953-63.
CrossRef
PubMed
- Jentzer JC, Pöss J, Schaubroeck H, Morrow DA, Hollenberg SM, Mebazaa A. Advances in the management of cardiogenic shock. Crit Care Med. 2023 Sep 1;51(9):1222-33.
CrossRef
PubMed
- Kolosovych IV, Hanol IV. Intra-abdominal hypertension as a complication of acute pancreatitis. Fiziol Zh. 2023; 69(2): 78-89. [Ukrainian].
CrossRef
- Leibner E, Andreae M, Galvagno SM, Scalea T. Damage control resuscitation. Clin Exp Emerg Med. 2020 Mar;7(1):5-13.
CrossRef
PubMed PubMedCentral
- Giannoudis VP, Rodham P, Giannoudis PV, Kanakaris NK. Severely injured patients: modern management strategies. EFORT Open Rev. 2023 May 9;8(5):382-96.
CrossRef
PubMed PubMedCentral
- Berezutsky VI. Modern approaches to burn shock therapy. Pain Anaesth Int Care. 29, Jan. 2018;1(82):35-40. [Ukrainian].
CrossRef
- Meyhoff TS, Granholm A, Hjortrup PB, Sivapalan P, Lange T, Laake JH, et al. Albumin administration in septic shock-Protocol for post-hoc analyses of data from a multicentre RCT. Acta Anaesthesiol Scand. 2023 Sep;67(8):1128-36.
CrossRef
PubMed
- Muir SL, Sheppard LB, Maika-Wilson A, Burgert JM, Garcia-Blanco J, Johnson AD, Coyner JL. A Comparison of the effects of intraosseous and intravenous 5% albumin on infusion time and hemodynamic measures in a swine model of hemorrhagic shock. Prehosp Disaster Med. 2016 Aug;31(4):436-42.
CrossRef
PubMed
- Elliott A, Dubé PA, Cossette-Côté A, Patakfalvi L, Villeneuve E, Morris M, Gosselin S. Intraosseous administration of antidotes - a systematic review. Clin Toxicol (Phila). 2017 Dec;55(10):1025-54.
CrossRef
PubMed
- Bebarta VS, Garrett N, Boudreau S, Castaneda M. Intraosseous hydroxocobalamin versus intravenous hydroxocobalamin compared to intraosseous whole blood or no treatment for hemorrhagic shock in a swine model. Am J Disaster Med. 2015 Jul. 1;10(3):205-1.
CrossRef
PubMed
- Burgert JM. Intraosseous vascular access in disasters and mass casualty events: A review of the literature. Am J Disaster Med. 2016 Jul. 1;11(3):149-66.
CrossRef
PubMed
- Burgert JM, Johnson AD, Garcia-Blanco J, Fulton LV, Loughren MJ. The resuscitative and pharmacokinetic effects of humeral intraosseous vasopressin in a swine model of ventricular fibrillation. Prehosp Disaster Med. 2017 Jun;32(3):305-10.
CrossRef
PubMed
First National Congress on Bioethics [Internet]. Weekly Pharmacy. 2001;308(37). [Ukrainian]. https://www. apteka.ua/article/33055
National Research Council (US) Institute for Laboratory Animal Research. Guide for the Care and Use of Laboratory Animals. Washington (DC): Natl Acad Press (US). 2011. https://grants.nih.gov/grants/olaw/guide-for-thecare-and-use-of-laboratory-animals.pdf
- P Chahal, P Holton, J A King Proceedings: Comparison of neutral red and other markers used for the estimation of gastric mucosal blood flow J Physiol. 1976 Mar;256(1):29P.
- Tabachnick BG, Fidell LS. Using multsvariate statistics. 6th ed. Pearson; 2013.
- Lyzogub KI, Nikonov VV, Lyzogub MV. The role of balanced solutions in the practice of a doctor. Emergency Medicine [Internet].2020;16(5):17-21. [Ukrainian].
Ntourakis D, Liasi. Damage control resuscitation in patients with major trauma: prospects and challenges. J Emerg Critic Care Med [Internet]. 2020 Oct;4:34. https:// jeccm.amegroups.org/article/view/6076/pdf
CrossRef
- Pohlman TH, Fecher AM, Arreola-Garcia C. Optimizing transfusion strategies in damage control resuscitation: current insights. J Blood Med. 2018 Aug 20;9:117-33.
CrossRef
PubMed PubMedCentral
- Rossaint R, Afshari A, Bouillon B, Cerny V, Cimpoesu D, et al. The European guideline on management of major bleeding and coagulopathy following trauma: Sixth edition. Crit Care. 2023 Mar 1;27(1):80.
CrossRef
PubMed PubMedCentral
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