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Dilutional acidosis following Haes-steril 6% and haemagel in comparison with normal saline 0.9% in open abdominal surgery

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Anesthesiology

Advisors

El-Khattib, Muhammad T., Abdel-Naeim, Hala E., Gumaa, Hala M.

Authors

Abdel-Naby, Sherin Muhammad

Accessioned

2017-03-30 06:23:46

Available

2017-03-30 06:23:46

type

M.D. Thesis

Abstract

Normal saline 0.9% is the most commonly used crystalloid, isotonic and mainly distributed extracellular. This study compared normal saline 0.9% to haes-steril 6% and haemagel colloid solutions as regarding acid-base change after infusion in patients undergoing open abdominal surgeries. 60 patients were randomized to receive normal saline o.9% or haes-steril 6% or haemagel for a duration of 2-3 hours. Hemodynamic monitoring revealed significant increase in mean arterial blood pressure in haes-steril 6% group with no significant change in heart rate in any group. As regarding fluid balance, central venous pressure significantly increased in haes-steril 6% group with significant increase in urine output with normal saline 0.9% group. Dilutional acidosis had been resulted with all groups after end of therapy but significantly in normal saline 0.9% group in comparison to other groups. In conclusion normal saline 0.9%, haes-steril 6% and haemagel are considered safe on acid-base balance when given within normal dosage. Haemagel is the most safe as it insignificantly changed pH in comparison to normal saline 0.9% which decreased pH significantly more than haes-steril 6%. The significant change that occurred in acid-base balance with normal saline 0.9% was due to dilution of bicarbonate ion and decrease in strong ionic difference, while with haes-steril 6% was due to dilution of bicarbonate ion.

Issued

1 Jan 2005

Details

Type

Thesis

Created At

28 Jan 2023