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Sökning: onr:"swepub:oai:DiVA.org:liu-60253" > Hypoproteinemia doe...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003891naa a2200457 4500
001oai:DiVA.org:liu-60253
003SwePub
008101008s2010 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:121290889
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-602532 URI
024a https://doi.org/10.1097/CCM.0b013e3181ef45e22 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1212908892 URI
040 a (SwePub)liud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Brauer, Kirk Iu University of Texas Medical Branch4 aut
2451 0a Hypoproteinemia does not alter plasma volume expansion in response to a 0.9% saline bolus in awake sheep
264 1b Williams and Wilkins,c 2010
338 a print2 rdacarrier
520 a Objective: To test the hypothesis that hypoproteinemia reduces plasma volume expansion produced by a bolus of crystalloid solution given to awake sheep. Design: Prospective and observational. Setting: Laboratory. Subjects: Five female merino sheep (n = 5) weighing 37 +/- 3 kg were anesthetized. Interventions: Each animal was subjected to a 5-day test period: day 1: 50 mL/min 0.9% saline infusion over 20 mins. Days 2-4: daily plasmapheresis and replacement of the shed plasma with 6 L of 0.9% saline were performed in increments. Measurements and Main Results: Fractional plasma volume expansion after rapid infusion of saline on days 1 and 5 was calculated from changes in hemoglobin concentration. There was a significant reduction in total plasma protein concentration after plasmapheresis (p andlt; .05). Colloid osmotic pressures were also significantly lowered (p andlt; .05). A crystalloid infusion of 0.9% saline did not alter any of these values compared with baseline. The hemodynamic measurements did not show significant differences between the experiments. The plasma volume expansion reached approximately 20% at the end of infusion and stayed at 10-15% during the experiments. No difference was found in plasma volume expansion produced by a bolus of 50 mL/min of 0.9% in the hypoproteinemic state when compared with the euproteinemic state (p = .61). No difference in cumulative urinary output was found between the two states. Conclusions: In contrast to our hypothesis, severe acute hypoproteinemia does not reduce plasma volume expansion in response to 50 mL/min 0.9% saline infusion in nonspleenectomized sheep when compared with the resultant plasma volume expansion after a 50 mL/min of 0.9% infusion in the euproteinemic state.
653 a anesthesia
653 a hypoproteinemia
653 a plasma volume expansion
653 a crystalloids
653 a fluid distribution
653 a MEDICINE
653 a MEDICIN
700a Brauer, Lance Pu University of Texas Medical Branch4 aut
700a Prough, Donald Su University of Texas Medical Branch4 aut
700a Rodhe, Peteru Karolinska Institute4 aut
700a Hahn, Robert Gu Karolinska Institutet,Östergötlands Läns Landsting,Linköpings universitet,Anestesiologi med intensivvård,Hälsouniversitetet,Anestesi- och operationkliniken US4 aut0 (Swepub:liu)robha40
700a Traber, Daniel Lu University of Texas Medical Branch4 aut
700a Traber, Lilian Du University of Texas Medical Branch4 aut
700a Svensen, Christer Hu Karolinska Institutet4 aut
710a University of Texas Medical Branchb Karolinska Institute4 org
773t CRITICAL CARE MEDICINEd : Williams and Wilkinsg 38:10, s. 2011-2015q 38:10<2011-2015x 0090-3493x 1530-0293
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-60253
8564 8u https://doi.org/10.1097/CCM.0b013e3181ef45e2
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:121290889

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