the choice of the intravenous fluid influences the tolerance of acute normovolemic anemia in anesthetized domestic pigs静脉液体的选择影响急性normovolemic贫血的公差在国内猪麻醉.pdfVIP
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the choice of the intravenous fluid influences the tolerance of acute normovolemic anemia in anesthetized domestic pigs静脉液体的选择影响急性normovolemic贫血的公差在国内猪麻醉
Pape et al. Critical Care 2012, 16:R69
/content/16/2/R69
RESEARCH Open Access
The choice of the intravenous fluid influences the
tolerance of acute normovolemic anemia in
anesthetized domestic pigs
1* 1 1 1 1 1 2
Andreas Pape , Saskia Kutschker , Harry Kertscho , Peter Stein , Oliver Horn , Mischa Lossen , Bernhard Zwissler
and Oliver Habler3
Abstract
Introduction: The correction of hypovolemia with acellular fluids results in acute normovolemic anemia. Whether
the choice of the infusion fluid has an impact on the maintenance of oxygen (O2) supply during acute
normovolemic anemia has not been investigated so far.
Methods: Thirty-six anesthetized and mechanically ventilated pigs were hemodiluted to their physiological limit of
anemia tolerance, reflected by the individual critical hemoglobin concentration (Hbcrit). Hbcrit was defined as the
Hb-concentration corresponding with the onset of supply-dependency of total body O -consumption (VO ). The
2 2
hemodilution protocol was randomly performed with either tetrastarch (6% HES 130/0.4, TS-group, n = 9), gelatin
(3.5% urea-crosslinked polygeline, GEL-group, n = 9), hetastarch (6% HES 450/0.7, HS-group, n = 9) or Ringer’s
solution (RS-group, n = 9). The primary endpoint was the dimension of Hbcrit, secondary endpoints were
parameters of central hemodynamics, O2 transport and tissue oxygenation.
Results: In each animal, normovolemia was maintained throughout the protocol. Hbcrit was met at 3.7 ± 0.6 g/dl
(RS), 3.0 ± 0.6 g/dl (HS P 0.05 vs. RS), 2.7 ± 0.6 g/dl (GEL, P 0.05 vs. RS) and 2.1 ± 0.4 g/dl (T
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