Evaluation of a hypertonic saline-dextran solution for treatment of dogs with shock induced by gastric dilatation-volvulus

Eric R. Schertel From the Division of Thoracic and Cardiovascular Surgery, College of Medicine (Schertel), and Department of Veterinary Clinical Sciences, College of Veterinary Medicine (Muir, Brourman), The Ohio State University, Columbus, OH 43210; Mission MedVet, Mission, KS 66205 (Allen); and MedVet, Columbus, OH 43231 (DeHoff).

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David A. Allen From the Division of Thoracic and Cardiovascular Surgery, College of Medicine (Schertel), and Department of Veterinary Clinical Sciences, College of Veterinary Medicine (Muir, Brourman), The Ohio State University, Columbus, OH 43210; Mission MedVet, Mission, KS 66205 (Allen); and MedVet, Columbus, OH 43231 (DeHoff).

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William W. Muir From the Division of Thoracic and Cardiovascular Surgery, College of Medicine (Schertel), and Department of Veterinary Clinical Sciences, College of Veterinary Medicine (Muir, Brourman), The Ohio State University, Columbus, OH 43210; Mission MedVet, Mission, KS 66205 (Allen); and MedVet, Columbus, OH 43231 (DeHoff).

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Jeffery D. Brourman From the Division of Thoracic and Cardiovascular Surgery, College of Medicine (Schertel), and Department of Veterinary Clinical Sciences, College of Veterinary Medicine (Muir, Brourman), The Ohio State University, Columbus, OH 43210; Mission MedVet, Mission, KS 66205 (Allen); and MedVet, Columbus, OH 43231 (DeHoff).

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William D. DeHoff From the Division of Thoracic and Cardiovascular Surgery, College of Medicine (Schertel), and Department of Veterinary Clinical Sciences, College of Veterinary Medicine (Muir, Brourman), The Ohio State University, Columbus, OH 43210; Mission MedVet, Mission, KS 66205 (Allen); and MedVet, Columbus, OH 43231 (DeHoff).

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Objective

To test the hypothesis that small volumes of hypertonic saline-dextran (HSD) solution can be used to effectively resuscitate dogs in shock induced by gastric dilatation-volvulus (GDV). and, compared with administration of large volumes of lactated Ringer's solution (LRS), can be used to limit the overall volume of fluid needed for resuscitation.

Design

Prospective, clinical study.

Animals

15 dogs with GDV-induced shock.

Procedure

Initially, HSD solution (5 ml/kg of body weight) or LRS (60 to 90 ml/kg) was administered. All dogs then received a maintenance administration (20 ml/kg/h) of LRS. Cardiorespiratory, blood gas, and serum biochemical analyses were performed over a 4-hour period after initiation of treatment.

Results

Systolic arterial and central venous pressures and plasma volume increased more rapidly in dogs in the HSD + LRS group. The cumulative dose of fluids administered to dogs in the HSD + LRS group was significantly less than that administered to dogs in the LRS group. Serum sodium and chloride concentrations and osmolality increased significantly in dogs in the HSD + LRS group, but not in dogs in the LRS group. Ventricular arrhythmias were detected in both groups of dogs, but did not appear to be induced by either form of fluid therapy.

Clinical Implications

Administration of HSD rapidly restored cardiorespiratory function and induced resuscitation equivalent to administration of large volumes of LRS. Use of HSD solutions to treat dogs in GDV-induced shock may be more efficient than use of isotonic fluids. Administration of HSD solution was not associated with noticeable complications.

Objective

To test the hypothesis that small volumes of hypertonic saline-dextran (HSD) solution can be used to effectively resuscitate dogs in shock induced by gastric dilatation-volvulus (GDV). and, compared with administration of large volumes of lactated Ringer's solution (LRS), can be used to limit the overall volume of fluid needed for resuscitation.

Design

Prospective, clinical study.

Animals

15 dogs with GDV-induced shock.

Procedure

Initially, HSD solution (5 ml/kg of body weight) or LRS (60 to 90 ml/kg) was administered. All dogs then received a maintenance administration (20 ml/kg/h) of LRS. Cardiorespiratory, blood gas, and serum biochemical analyses were performed over a 4-hour period after initiation of treatment.

Results

Systolic arterial and central venous pressures and plasma volume increased more rapidly in dogs in the HSD + LRS group. The cumulative dose of fluids administered to dogs in the HSD + LRS group was significantly less than that administered to dogs in the LRS group. Serum sodium and chloride concentrations and osmolality increased significantly in dogs in the HSD + LRS group, but not in dogs in the LRS group. Ventricular arrhythmias were detected in both groups of dogs, but did not appear to be induced by either form of fluid therapy.

Clinical Implications

Administration of HSD rapidly restored cardiorespiratory function and induced resuscitation equivalent to administration of large volumes of LRS. Use of HSD solutions to treat dogs in GDV-induced shock may be more efficient than use of isotonic fluids. Administration of HSD solution was not associated with noticeable complications.

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