Plasma dilution and the rate of infusion of Ringer's solution

被引:47
作者
Hahn, RG
Svensen, C
机构
[1] Karolinska Institute, Department of Anaesthesia, Söder Hospital
关键词
fluids; i.v; fluid therapy; fluid balance; blood; haemodilution; model; pharmacokinetic;
D O I
10.1093/bja/79.1.64
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Changes in the volume of the fluid space expanded by i.v. infusion of Ringer's acetate solution have been analysed recently using mathematical models. Data obtained by such analyses allow simulation of the dilution of the plasma volume during infusion of the solution at different rates. To obtain basic kinetic data for such simulations, the plasma dilution-time curves were measured during and after i.v. infusion of Ringer's solution 25 ml kg(-1) over 30 min in 15 healthy male volunteers (mean age 31 yr) and over 30, 45 and 80 min in six females (mean age 32 yr). Based on these experiments, nomograms were constructed from which the rate of infusion of Ringer's solution and the infusion time required to obtain a defined plasma dilution in both males and females can be estimated together with the infusion rate needed to maintain the dilution at the level reached.
引用
收藏
页码:64 / 67
页数:4
相关论文
共 5 条
[1]   Time course of increased haemodilution in hypotension induced by extradural anaesthesia [J].
Drobin, D ;
Hahn, RG .
BRITISH JOURNAL OF ANAESTHESIA, 1996, 77 (02) :223-226
[2]   Volume kinetics of Ringer's solution in female volunteers [J].
Hahn, RG ;
Drobin, D ;
Stahle, L .
BRITISH JOURNAL OF ANAESTHESIA, 1997, 78 (02) :144-148
[3]  
SENDAK MJ, 1993, PRINCIPLES PRACTICE, P866
[4]   Modelling the volume of expandable body fluid spaces during iv fluid therapy [J].
Stahle, L ;
Nilsson, A ;
Hahn, RG .
BRITISH JOURNAL OF ANAESTHESIA, 1997, 78 (02) :138-143
[5]   A NEW NOMOGRAM FACILITATING ADEQUATE HEMODILUTION [J].
ZETTERSTROM, H ;
WIKLUND, L .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1986, 30 (04) :300-304