Operating room use of hypertonic solutions: a clinical review
Clinics
; 63(6): 833-840, 2008. tab
Artigo
em Inglês
| LILACS
| ID: lil-497902
Biblioteca responsável:
BR1.1
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:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Solução Salina Hipertônica
/
Procedimentos Cirúrgicos Operatórios
/
Dextranos
/
Derivados de Hidroxietil Amido
/
Substitutos do Plasma
/
Hemodinâmica
Limite:
Humanos
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2008
Tipo de documento:
Artigo
País de afiliação:
Canadá
Instituição/País de afiliação:
Sunnybrook Health Sciences Centre/CA
/
University of Toronto/CA