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September 1, 1990Acta Physiologica Scandinavica

Effects of hypertonic NaCl solution on microvascular haemodynamics in normo‐ and hypovolaemia

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Why the study?

Does a 7.5% NaCl infusion improve microvascular hemodynamics compared to 0.9% NaCl in hamsters with hemorrhagic shock?

Population

Hamsters in normovolemia and hemorrhagic shock (acute bleeding to a hypotension level of about 40 mmHg)

Comparison

Single, 10-min, 350-microliters intravenous… vs Identical infusion of 0.9% NaCl

Design

Preclinical

Authors

EBEliete BouskelaUniversidade do Estado do Rio de JaneiroWGW. GramppLund UniversitySMStefan MellanderNU Hospital Group

Discussion

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Implication

Hypertonic saline may aid hemodynamics in animal hemorrhagic shock; leaves open translation to human resuscitation pending trials.

Structured PICO

Does a 7.5% NaCl infusion improve microvascular hemodynamics compared to 0.9% NaCl in hamsters with hemorrhagic shock?

P
Population
Hamsters in normovolemia and hemorrhagic shock (acute bleeding to a hypotension level of about 40 mmHg)
I
Intervention
Single, 10-min, 350-microliters intravenous infusion of 7.5% NaCl
C
Comparator
Identical infusion of 0.9% NaCl
O
Outcome
Microvascular hemodynamics (mean arterial pressure, arteriolar blood flow, vessel diameters) in the hamster cheek pouchsurrogate

Hypertonic saline infusion improves mean arterial pressure and microvascular blood flow in a hamster model of hemorrhagic shock.

Cite This Study

Bouskela et al. (1990) studied this question.

synapsesocial.com/papers/6a96db206b29a448da8248b3https://doi.org/10.1111/j.1748-1716.1990.tb08978.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hyperosmotic NaCl and severe hemorrhagic shock: role of the innervated lung1981 · 67 citations
  2. 2Circulatory and Respiratory Effects Evoked by Hypertonic Ventriculo‐Cisternal Perfusion1975 · 12 citations
  3. 3Microcirculatory responses in cat sartorius muscle to hemorrhagic hypotension1989 · 11 citations
  4. 4Range of Sympathetic Discharge and Reflex Vascular Adjustments in Skeletal Muscle during Hemorrhagic Hypotension1964 · 64 citations
  5. 5Periarteriolar and tissue PO2 during sympathetic escape in skeletal muscle1988 · 53 citations