Document Detail


Shock and resuscitation. III. Accurate refractometric COP determinations in hypovolemia treated with HALFD.
MedLine Citation:
PMID:  449157     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 38 critically burned patients with symptomatic hypovolemia being treated by intravenous fluids, the accuracy of colloid oncotic pressure (COP) calculated from the refractometrically-determined serum total protein (TPRI) was compared with COP values determined by a commercially-available clinical oncometer. Sera were obtained randomly from seven patients receiving Ringer's lactate solution, five receiving a hypertonic solution (240 mOsm Na+) and 26 receiving a hypertonic solution containing albumin (12.5 gm/liter, HALFD method). There was poor correlation between COP measure and that calculated from RI in patients receiving colloid-free fluid, but high correlation (r = 0.925) in patients receiving HALFD. There was high correlation (r = 0.951) between measured COP and values calculated from TPRI in patients receiving hypertonic fluid, colloid containing hypertonic fluid, or no fluid:COP = 4.08 (TPRI)--4.61.
Authors:
C Jelenko; R I Solenberger; M L Wheeler; B D Callaway
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  JACEP     Volume:  8     ISSN:  0361-1124     ISO Abbreviation:  JACEP     Publication Date:  1979 Jul 
Date Detail:
Created Date:  1979-09-01     Completed Date:  1979-09-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0317011     Medline TA:  JACEP     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  253-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Burns / therapy
Colloids / analysis*
Fluid Therapy*
Humans
Hypertonic Solutions
Methods
Osmotic Pressure
Shock / blood,  therapy*
Chemical
Reg. No./Substance:
0/Colloids; 0/Hypertonic Solutions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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