The effect of colloid formulation on colloid osmotic pressure in horses with naturally occurring gastrointestinal disease

作者: Fausto Bellezzo , Timothy Kuhnmuench , Eileen S Hackett

DOI: 10.1186/1746-6148-10-S1-S8

关键词:

摘要: Naturally occurring gastrointestinal disease is an important cause of acute hypoproteinemia in adult horses and hydroxyethyl starch colloid fluid treatment a component supportive care these cases to improve plasma volume maintain osmotic pressure (COP). The objectives the present study were compare 2 formulations high molecular weight their relative effect on COP, acid-base status, survival with secondary disease. Twenty horses, ≥ 1 year age, prospectively enrolled, informed client consent, if they developed hypoproteinemia, defined as total protein <5.0 g/dL or albumin <2.2 during hospitalization while undergoing for Horses randomly assigned receive rapid infusion either 6% 0.9% saline lactated ringers solution at dose 10ml/kg. Venous blood gas analysis, PCV evaluated before after administration. For both groups, average COP prior was 11.0 mmHg (9.7 – 12.2 mmHg) post 13.2 (12.0 -14.7 [Normal range 18 22 mmHg]. significantly increased (p<0.001) but this increase not different between groups. pH did change treatment. Twelve survived hospital discharge differ Post-treatment improved approximately 20% regardless formulation used, however, values reach normal observed healthy horses. Acid-base parameters impacted by Further needed determine how two products regards other outcome measures. Evaluation effects clinical future area interest.

参考文章(18)
Gentry Pa, Jones Pa, Tomasic M, Oncotic, hemodilutional, and hemostatic effects of isotonic saline and hydroxyethyl starch solutions in clinically normal ponies. American Journal of Veterinary Research. ,vol. 58, pp. 541- 548 ,(1997)
T. J. Gan, E. Bennett-Guerrero, B. Phillips-Bute, H. Wakeling, D. M. Moskowitz, Y. Olufolabi, S. N. Konstadt, C. Bradford, P. S. A. Glass, S. J. Machin, M. G. Mythen, Hextend, a physiologically balanced plasma expander for large volume use in major surgery: a randomized phase III clinical trial. Hextend Study Group. Anesthesia & Analgesia. ,vol. 88, pp. 992- ,(1999) , 10.1097/00000539-199905000-00005
Daniel De Backer, Jean Louis Vincent, Joseph Mbaba Mena, Effects of a hydroxyethylstarch solution on plasma colloid osmotic pressure in acutely ill patients. Acta anaesthesiologica Belgica. ,vol. 51, pp. 39- 42 ,(2000)
Deborah Silverstein, Katrina Hopper, Small Animal Critical Care Medicine ,(2008)
A. Viljoen, P. C. Page, G. T. Fosgate, M. N. Saulez, Coagulation, oncotic and haemodilutional effects of a third-generation hydroxyethyl starch (130/0.4) solution in horses. Equine Veterinary Journal. ,vol. 46, pp. 739- 744 ,(2014) , 10.1111/EVJ.12223
MAX HARRY WEIL, ROBERT J. HENNING, VINOD K. PURI, Colloid oncotic pressure: clinical significance. Critical Care Medicine. ,vol. 7, pp. 113- 116 ,(1979) , 10.1097/00003246-197903000-00006
Peyton A. Jones, Fairfield T. Bain, T. Douglas Byars, J. Barry David, Raymond C. Boston, Effect of hydroxyethyl starch infusion on colloid oncotic pressure in hypoproteinemic horses. Javma-journal of The American Veterinary Medical Association. ,vol. 218, pp. 1130- 1135 ,(2001) , 10.2460/JAVMA.2001.218.1130
Anthony M Roche, Michael FM James, Elliott Bennett-Guerrero, Michael G Mythen, None, A head-to-head comparison of the in vitro coagulation effects of saline-based and balanced electrolyte crystalloid and colloid intravenous fluids. Anesthesia & Analgesia. ,vol. 102, pp. 1274- 1279 ,(2006) , 10.1213/01.ANE.0000197694.48429.94
Peter Safar, Ake Grenvik, Critical Care Medicine : Organizing and Staffing Intensive Care Units Chest. ,vol. 59, pp. 535- 547 ,(1971) , 10.1378/CHEST.59.5.535