Operating room use of hypertonic solutions: a clinical review
Clinics
;
63(6): 833-840, 2008. tab
Artículo
en Inglés
| LILACS
| ID: lil-497902
ABSTRACT
Hyperosmotic-hyperoncotic solutions have been widely used during prehospital care of trauma patients and have shown positive hemodynamic effects. Recently, there has been a growing interest in intra-operative use of hypertonic solutions. We reviewed 30 clinical studies on the use of hypertonic saline solutions during surgeries, with the majority being cardiac surgeries. Reduced positive fluid balance, increased cardiac index, and decreased systemic vascular resistance were the main beneficial effects of using hypertonic solutions in this population. Well-designed clinical trials are highly needed, particularly in aortic aneurysm repair surgeries, where hypertonic solutions have shown many beneficial effects. Examining the immunomodulatory effects of hypertonic solutions should also be a priority in future studies.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Solución Salina Hipertónica
/
Procedimientos Quirúrgicos Operativos
/
Dextranos
/
Derivados de Hidroxietil Almidón
/
Sustitutos del Plasma
/
Hemodinámica
Límite:
Humanos
Idioma:
Inglés
Revista:
Clinics
Asunto de la revista:
Medicina
Año:
2008
Tipo del documento:
Artículo
País de afiliación:
Canadá
Institución/País de afiliación:
Sunnybrook Health Sciences Centre/CA
/
University of Toronto/CA
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