The role of bicarbonate precursors in balanced fluids during haemorrhagic shock with and without compromised liver function

Ergın B., Kapucu A., Guercı P., Ince C. H.

BRITISH JOURNAL OF ANAESTHESIA, vol.117, pp.521-528, 2016 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 117
  • Publication Date: 2016
  • Doi Number: 10.1093/bja/aew277
  • Journal Name: BRITISH JOURNAL OF ANAESTHESIA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.521-528
  • Keywords: buffered solution, gluconate, haemorrhagic shock, microcirculation, PlasmaLyte, INTENSIVE-CARE, HYDROXYETHYL STARCH, PLASMA-LYTE, RESUSCITATION, ACETATE, LACTATE, SALINE, MULTICENTER, GLUCONATE, PO-2
  • Istanbul University Affiliated: Yes

Abstract

Background: Lactate, acetate, and gluconate are anions used in balanced resuscitation fluids, of which lactate and acetate are considered bicarbonate precursors. This study investigated the role of the liver in the ability of balanced and unbalanced solutions to correct acid base alterations and renal haemodynamics and microvascular oxygenation in a rat model of resuscitated haemorrhagic shock.