Cardiovascular and metabolic effects of volemic expansion with 7.5% hypertonic saline alone or in combination with hydroxyethylstarch 130/0.4 in cats with induced hypovolemia Efeitos cardiovascular e metabólico da reposição volêmica com solução salina hipertônica 7,5% associada ou não ao hidroxietilamido 130/0,4 em gatas com hipovolemia induzida

• Main Author: Regalin D.*
• Publication Date: 2010
• Other Authors: de Moraes A.N.*, Flores F.N., Correa A.L.*, da Costa B.D.*, Carneiro R.*, Oleskovicz, Nilson
• Format: Article
• Language: eng
• Source: Repositório Institucional da Udesc
• Download full: https://repositorio.udesc.br/handle/UDESC/9811

Hypovolemia is characterized by body fluid loss leading to an inadequate circulatory flow and consequently tissue injury. The aim of this study was to compare the volume expansion using hypertonic saline solution (NaCl 7.5%) alone or in combination with hydroxyethylstarch 130/0.4 (HES 130/ 0.4) in cats under general anesthesia with isoflurane and exposed to experimental hypovolemia. Twelve adult mixed breed cats, average weight of 3.07±0.56kg were used in this study. The queens were anesthetized using isoflurane and after surgical prepare, anesthesia were maintained with 1 MAC of isoflurane and the animals were mechanically ventilated. After waiting for anesthesia stabilization, baseline cardiovascular and hemogasometric parameters were recorded. Hypovolemia was induced by withdrawing 30mL kg-1 of blood from the femoral artery, after an hour, data were reassessed, and then, the animals were allocated into two groups: HSG (hypertonic saline group, n=6), which received 4mL kg-1 of 7.5% NaCl, and HSCG (hypertonic saline, associated to HES 130/0,4 group n=6) which received 4mL kg-1 of 7.5% NaCl associated to 30ml kg-1 of HES 130/0.4. After the treatments, cardiovascular and hemogasometric parameters were assessed for 120 minutes. Systolic blood pressure (SAP), diastolic blood pressure (DAP), mean arterial pressure (MAP) were significantly higher after volemic expansion on HSG at T0. From T45 to T120, SAP, DAP and MAP were significantly higher in HSCG when compared to HSG. Central venous pressure was higher in HSCG up to T60. There were no significant differences between groups on heart rate, respiratory rate, Na+, K+, base excess, bicarbonate, hemoglobin saturation, glucose, PaCO2, PaO2 and pH. The administration of 7.5% NaCl, promoted a faster increase in MAP, SAP and DAP in cats with induced hypovolemia andthese effects were maintained for 30 minutes while the administration of HES 130/0.4 in combination with 7.5% NaCl promoted a delayed reestablishment (30 minutes after treatment) of MAP, SAP and DAP in cats with induced hypovolemia, but lasting up to T120. The combination of HES 130/0.4 and NaCl 7.5% promoted a significant increase on CVP for up to 60 minutes after the treatment.