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Fluid therapy with Ringer's solution versus Haemaccel following coronary artery bypass surgery
A Wahba1, E Sendtner, M Strotzer
1Department of Cardiac, Thoracic, and Vascular Surgery, University of Regensburg, Germany.
Acta Anaesthesiologica Scandinavica
|November 1, 1996
Summary
Haemaccel requires less volume for effective circulation support after heart surgery compared to Ringer's solution. This colloid solution offers better fluid resuscitation in cardiac patients.
Area of Science:
- Cardiovascular Surgery
- Anesthesiology
- Critical Care Medicine
Background:
- Volume therapy is crucial post-cardiac surgery.
- Crystalloids (Ringer's) and colloids (Haemaccel) are common fluid choices.
- Comparing their efficacy in coronary artery bypass grafting (CABG) is important.
Purpose of the Study:
- To compare Ringer's solution with Haemaccel for volume therapy after CABG.
- To evaluate hemodynamic stability, circulatory filling, and pulmonary function.
- To assess the total volume infused and chest tube drainage.
Main Methods:
- Prospective, randomized study design.
- Stringent infusion rate protocol.
- Hemodynamic monitoring and double-indicator dilution for blood volume and lung water indices.
Main Results:
- Both Ringer's and Haemaccel achieved hemodynamic stability.
- Haemaccel group required significantly less total infused volume.
- Haemaccel demonstrated better circulatory filling (TBVI, ITBV) at 8 hours post-CABG.
Conclusions:
- Haemaccel is more effective than Ringer's solution for volume therapy post-CABG.
- Haemaccel requires less volume for adequate circulatory support.
- Colloid solutions like Haemaccel may offer advantages in fluid resuscitation after cardiac surgery.