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Comparison of the Effectiveness of Hydroxyethyl Starch (Voluven) Solution With Normal Saline in Hemorrhagic Shock Treatment in Trauma
| Content Provider | Semantic Scholar |
|---|---|
| Author | Masoumi, Kambiz Forouzan, Arash Darian, Ali Asgari Navaii, Alireza Rafaty |
| Copyright Year | 2016 |
| Abstract | BACKGROUND Appropriate fluid therapy affects morbidity and mortality rates. A conclusion is yet to be reached on the role of crystalloids and colloids in immediate fluid therapy. This study was done to determine the suitable solution in immediate resuscitation of patients with hemorrhagic shock caused by tissue trauma. METHODS One hundred trauma patients with hemorrhagic shock, who underwent fluid therapy in the emergency unit, were assigned randomly to two groups of hydroxyethyl starch (Voluven) and normal saline. Before and after fluid therapy, 1 cc of blood was taken from all patients in order to determine and compare base excess levels. RESULTS In hydroxyethyl starch (Voluven) and normal saline groups, base excess level after solution therapy increased about 9.65 and 5.46 volumes, respectively, in which augmentation in hydroxyethyl starch (Voluven) group is significantly higher than normal saline group (P ≤ 0.001). CONCLUSION By using hydroxyethyl starch (Voluven) for fluid therapy in hemorrhagic shock caused by trauma, serum base excess decreases and results in improvement in tissue perfusion and better balance in acid-base status and it seems to be superior over normal saline administration, but the building block of the ideal fluid therapy should still remain with the physician's final clinical judgment. |
| Starting Page | 815 |
| Ending Page | 818 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.jocmr.org/index.php/JOCMR/article/download/2702/1616 |
| PubMed reference number | 5047020 |
| Volume Number | 8 |
| Journal | Journal of clinical medicine research |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Accident and Emergency department Base excess measurement Colloids Fluid Therapy Hemorrhagic Disorders Hetastarch Morbidity - disease rate Normal saline Patients PersonNameUse - assigned Resuscitation procedure Shock, Hemorrhagic Starch Voluven Wounds and Injuries crystalloid solutions |
| Content Type | Text |
| Resource Type | Article |
