Use of Moderately Hypertonic Sodium Chloride in the Resuscitation of Patients from Injury.

Abstract

One of the main causes of death following traumatic injury has been hemorrhagic shock. Based on numerous studies in animal models and in burn shock patients, there has been considerable interest in evaluating the efficacy of hypertonic sodium chloride solutions in the resuscitation for traumatic injury. The purpose of this contract was to test the hypothesis that 3% sodium chloride will 1) successfully resuscitate hemodynamically unstable patients who have been subjected to major trauma; and 2) will achieve this resuscitation with infusion of smaller volumes of solution than required by patients resuscitated with standard isotonic solutions. Based on the promising work with hypertonic solutions in animal models of shock, this study was begun as a means of obtaining clinical experience in patients undergoing operative repair of traumatic injuries. Keywords: Systolic blood pressure; Heart rate; Urine output; Patients; Survival Shock; Trauma; Blood replacement; Pulmonary function; Crystalloid solutions.

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Document Details

Document Type
Technical Report
Publication Date
Aug 08, 1986
Accession Number
ADA187555

Entities

People

  • James W. Holcroft
  • Mary J. Vassar

Organizations

  • University of California, Davis

Tags

DTIC Thesaurus Topics

  • Biomedical Research
  • Blood
  • Cardiovascular Physiological Phenomena
  • Chemistry
  • Health Services
  • Heart Rate
  • Hemorrhagic Shock
  • Intensive Care Units
  • Measurement
  • Medical Personnel
  • Pharmaceutical Solutions
  • Physicians
  • Pulmonary Function
  • Resuscitation
  • Sodium Compounds
  • Therapy

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Trauma Surgery or Emergency Medicine.