Prospects for using hydroxyethyl starch in the complex of intensive care during interhospital transportation of critically ill patients with polytrauma
Shatalin, A.V.; Kravtsov, S.A.; Skopintsev, D.A.
Anesteziologiia i Reanimatologiia 5: 77-79
2009
ISSN/ISBN: 0201-7563 PMID: 19938721 Document Number: 636160
The paper analyzes the results of a comparative study of different infusion therapy modalities in victims with polytrauma during transportation to a specialized traumatological center. A combination of crystalloids and dextrans was applied to a control group and hydroxyethyl starch (HES) 130/0.4 was used in a study group. The evaluation criteria were the maintenance of stable hemodynamic parameters during transportation; a negative effect on hemostatic parameters and a preventive effect against the development of multiple organ dysfunction during transportation. Infusion therapy using HES has an advantage by all the parameters estimated.