Anästhesiol Intensivmed Notfallmed Schmerzther 2006; 41(4): 241-252
DOI: 10.1055/s-2006-925251
Fort- und Weiterbildung
© Georg Thieme Verlag KG Stuttgart · New York

„Small-Volume-Resuscitation” in der präklinischen und klinischen Notfalltherapie

„Small-Volume-Resuscitation” in Preclinical and Clinical EmergencyJ.  Boldt1
  • 1Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum der Stadt Ludwigshafen
Further Information

Publication History

Publication Date:
24 April 2006 (online)

Weiterbildungsziele

Konsequenzen der Hypovolämie

Besonderheiten der Polytraumas

Möglichkeiten des Volumenersatzes

Hypertone Lösungen

Wirkungsweise hypertoner Lösungen

Indikationen für hypertone Lösungen

Gefahren hypertoner Lösungen

zusätzliche Wirkungen hypertoner Lösungen

Literaturübersicht und Empfehlungen

Literatur

  • 1 Shafi S, Kauder D R. Fluid resuscitation and blood replacement in patients with polytrauma.  Clin Orthop Relat Res. 2004;  422 37-42
  • 2 Deakin C D. Early fluid resuscitation in haemorrhagic shock.  Eur J Emerg Med. 1994;  1 83-85
  • 3 Nolan J. Fluid resuscitation for the trauma patient.  Resuscitation. 2001;  48 57-69
  • 4 Kramer G C, Perron P R, Lindsey D C, Ho H S, Gunther R A, Boyle W A, Holcroft J W. Small-volume resuscitation with hypertonic saline dextran solution.  Surgery. 1986;  100 239-247
  • 5 Kreimeier U, Meßmer K. „Small-volume resuscitation” - Physiologie, experimentelle und klinische Ergebnisse.  Anästhesiologie und Intensivmedizin. 1989;  30 194-198
  • 6 Nakayama S I, Sibley L, Gunther R A, Holcroft J W, Kramer G C. Small-volume resuscitation with hypertonic saline (2.400 mOsm/liter) during hemorrhagic shock.  Circulatory Shock. 1984;  13 149-159
  • 7 Drobin D, Hahn R. Kinetics of isotonic and hypertonic plasma volume expanders.  Anesthesiology. 2002;  93 1371-1380
  • 8 Holcroft J W, Vassar M J, Turner J E, Derlet R W, Kramer G C. 3 % NaCl and 7. 5 % NaCl/dextran 70 in the resuscitation of severely injured patients.  Ann Surg. 1987;  206 279-288
  • 9 Kreimeier U, Peter K, Meßmer K. Small volume - large benefit.  Anaesthesist. 2001;  50 442-449
  • 10 Bernstein R L, Rosenberg A D, Pada E Y, Jaffe F F. A severe reaction to dextran despite hapten inhibition.  Anesthesiology. 1987;  67 567-569
  • 11 Kramer G C. Hypertonic resuscitation: physiologic mechanisms and recommendations for trauma care.  J Trauma. 2003;  54 (5 Suppl) S89-99
  • 12 Rocha-e-Silva M, Poli de Figueiredo L F. Small volume hypertonic resuscitation of circulatory shock.  Clinics. 2005;  60 159-172
  • 13 Meßmer K. Die Wirkung hypertoner Lösungen bei Ratten im irreversiblen Schock.  Anaesthesist. 1968;  17 295-301
  • 14 Wildenthal K, Skelton C L, Coleman III H N. Cardiac muscle mechanism in hyperosmotic solutions.  Am J Physiol. 1969;  217 302-306
  • 15 Rocha-e-Silva M, Negraes G A, Soares A M, Pontieri V, Loppnow L. Hypertonic resuscitation from severe hemorrhagic shock: patterns of regional circulation.  Circ Shock. 1986;  19 165-175
  • 16 Baue A E, Tragus E T, Parkins W M. A comparison of isotonic and hypertonic solutions and blood on blood flow and oxygen consumption in the initial treatment of hemorrhagic shock.  J Trauma. 1967;  7 743-756
  • 17 Intaglietta M. Objectives for the treatment of the microcirculation in ischema, shock, and reperfusion. In: Vincent JL (ed) Update in Intensive Care and Emergency Medicine. Berlin Heidelberg New York; Springer 1989: 293-298
  • 18 Mazzoni M C, Borgström P, Arfors K E, Intaglietta M. Dynamic fluid redistribution in hyperosmotic resuscitation of hypovolemic hemorrhage.  Am J Physiol. 1988;  255 H629-H637
  • 19 Penfield W G. The treatment of severe and progressive haemorrhage by intravenous injections.  Am J Physiol. 1919;  48 121-128
  • 20 De Filippe J, Timoner J, Velasco I T, Lopes O U, Rocha-e-Silva M. Treatment of refractory hypovolemic shock by 7. 5 % sodium chloride injections.  Lancet. 1980;  2 1002-1004
  • 21 Holcroft J W, Vassar M J, Perry C A, Gannaway W L, Kramer G C. Use of a 7. 5 % NaCl/6 % Dextran 70 solution in the resuscitation of injured patients in the emergency room.  Prog Clin Biol Res. 1989;  299 331-338
  • 22 Vassar M J, Perry C A, Holcroft J W. Analysis of potential risks associated with 7. 5 % sodium chloride resuscitation of traumatic shock.  Arch Surg. 1990;  125 1309-1315
  • 23 Maningas P A, Mattox K L, Pepe P E. Hypertonic saline-dextran solutions for the prehospital management of traumatic hypotension.  Am J Surg. 1989;  157 528-533
  • 24 Kröll W, Pölz W, Schimetta W. Erste Erfahrungen mit hypertonen-hyperonkotischen Lösungen als initialer Volumenersatz in der Behandlung der Hypovolämie.  Perfusion. 1991;  4 367-374
  • 25 Caldwell F T, Bowser B H. Critical evaluation of hypertonic and hypotonoc solutions to resuscitate severely burned children: a prospective study.  Ann Surg. 1979;  5 546-552
  • 26 Shackford S R, Sise M J, Fridlund P H, Rowley W R, Peters M, Virgilio R W, Brimm J E. Hypertonic sodium lactate versus lactated Ringer's solution for intravenous fluid therapy in operations on the abdominal aorta.  Surgery. 1983;  1 41-51
  • 27 Browser-Wallace B H, Cone J B, Caldwell F T. Hypertonic lactated saline resuscitation of severely burned patients over 60 years of age.  J Trauma. 1985;  1 22-26
  • 28 Monafo W W, Chuntrasakul C, Ayvazian V H. Hypertonic sodium solution in the treatment of burn shock.  Am J Surg. 1973;  126 773-780
  • 29 Boldt J. Do plasma substitutes have additional properties beyond correcting volume deficits?.  Shock. 2006;  25 103-116
  • 30 Dawidson I. Hypertonic saline solution for resuscitation: a word of caution.  Crit Care Med. 1990;  18 245
  • 31 Young R, Truax B. Hypernatriemia, hemorrhage and encephalopathy.  Ann Neuro. 1979;  5 588-595
  • 32 Boldt J, Zickmann B, Thiel A, Herold Ch, Hempelmann G. Hyperosmolarer Volumenersatz in der Herzchirurgie.  Anaesthesist. 1990;  39 412-419
  • 33 Schimetta W, Schochl H, Kroll W, Polz W, Polz G, Mauritz W. Safety of hypertonic hyperoncotic solutions - a survey from Austria.  Wien Klin Wochenschr. 2002;  114 89-95
  • 34 Berger S, Schurer L, Hartl R, Messmer K, Baethmann A. Reduction of post-traumatic intracranial hypertension by hypertonic/hyperoncotic saline/dextran and hypertonic mannitol.  Neurosurgery. 1995;  37 98-107
  • 35 Prough D S, Whitley J M, Taylor C L, Deal D D, DeWitt D. Regional abd cerebral blood flow following resuscitation from hemorrhagic shock with hypertonic saline.  Anesthesiology. 1991;  75 319-327
  • 36 White R J, Likavec M J. The diagnosis and initial management of head injury.  N Engl J Med. 1992;  327 1507-1511
  • 37 Wade C E, Kramer G C, Grady J J, Fabian T C, Younes R N. Efficacy of hypertonic 7. 5 % saline and 6 % dextran-70 in treating trauma: a meta-analysis of controlled clinical studies.  Surgery. 1997;  122 609-616
  • 38 Wade C, Grady J, Kramer G. Efficacy of hypertonic saline dextran (HSD) in patients with traumatic hypotension: meta-analysis of individual patient data.  Acta Anaesthesiol Scand Suppl. 1997;  110 77-79
  • 39 Boldt J. Fluid choice for resuscitation of the trauma patient: a review of the physiological, pharmacological, and clinical evidence.  Can J Anaesth. 2004;  51 500-513
  • 40 Bunn F, Roberts I, Tasker R, Akpa E. Hypertonic versus near isotonic crystalloid for fluid resuscitation in critically ill patients.  Cochrane Database Syst Rev. 2004 (3);  CD002045
  • 41 Sauaia A, Moore F A, Moore E E, Moser K S, Brennan R, Read R A, Pons P T. Epidemiology of trauma deaths: a reassessment.  J Trauma. 1995;  38 185-193

Prof. Dr. Joachim Boldt

Klinikum der Stadt Ludwigshafen

Klinik für Anästhesiologie und Operative Intensivmedizin · Bremserstraße 79 · 67063 Ludwigshafen

Email: BoldtJ@gmx.net

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