Effects of administration of a synthetic low molecular weight/low molar substitution hydroxyethyl starch solution in healthy neonatal foals.
Abstract: This study compared the effects of IV administration of isotonic fluid therapy and colloidal fluid therapy in healthy neonatal foals. Fifteen healthy neonatal foals were used in a randomized blinded prospective clinical study. Foals were randomly assigned to receive a bolus of 20 mL/kg of tetrastarch (TES) or balanced crystalloid solution. Vital parameters, colloid osmotic pressure (COP), and various clinicopathologic variables were assessed prior to infusion and at various time points up to 120 h after infusion. The treatment group (TES) had a significant increase in both COP and percentage increase in COP at 1 and 3 h. The COP was significantly lower than baseline at 3 h in the control group. No significant changes were observed in coagulation parameters in either group. Tetrastarch was effective in increasing COP for 3 h after infusion and had no notable adverse clinical effects in this group of healthy foals. Further studies are warranted regarding optimal dosing and effects in clinically ill foals. Cette étude a comparé les effets de l’administration IV d’une fluidothérapie isotonique et d’une fluidothérapie colloïdale chez des poulains néonataux en santé. Quinze poulains néonataux ont été utilisés dans une étude clinique prospective randomisée. Les poulains ont été assignés au hasard pour recevoir un bolus de 20 mL/kg de tétra-amidon (TEA) ou d’une solution cristalloïde équilibrée. Les paramètres vitaux, la pression osmotique colloïdale (POC) et diverses variables clinicopathologiques ont été évalués avant l’infusion et à divers moments jusqu’à 120 heures après l’infusion. Le groupe de traitement (TEA) a subi une hausse importante de la POC et une augmentation du pourcentage de POC à 1 et 3 heures dans le groupe témoin. Aucun changement significatif n’a été observé dans les paramètres de coagulation des deux groupes. Le tétra-amidon a été efficace pour l’augmentation de la POC pendant 3 heures après l’infusion et il n’a pas eu d’effets cliniques négatifs notables dans ce groupe de poulains en santé. De nouvelles études sont justifiées concernant le dosage optimal et les effets chez les poulains cliniquement malades.(Traduit par Isabelle Vallières).
Publication Date: 2015-10-21 PubMed ID: 26483583PubMed Central: PMC4572826
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- Journal Article
- Randomized Controlled Trial
- Research Support
- Non-U.S. Gov't
Summary
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This research article discusses the effects of IV administration of isotonic fluid therapy (tetrastarch) versus balanced crystalloid solution on colloid osmotic pressure (COP) and clinicopathologic variables within healthy neonatal foals, finding tetrastarch to be effective and without notable adverse effects.
Study Design and Subjects
- The study is a randomized, blinded, and prospective clinical study using 15 healthy neonatal foals as research subjects. The foals were divided into two groups at random and were assigned to receive an IV infusion of either tetrastarch or a balanced crystalloid solution.
Experimental Procedure
- Each foal received a bolus of 20 mL/kg of the respective substance.
- Various vital parameters and clinicopathologic variables were evaluated before the infusion and at different times, up to 120 hours after the infusion to measure any changes.
Outcome and Results
- The tetrastarch group experienced a significant increase in colloid osmotic pressure (COP) at the first and third hours following infusion.
- The control group, which received the balanced crystalloid solution, saw a significant decrease in COP from baseline at the third hour.
- No significant changes were noticed in the coagulation parameters in either group of foals.
Final Conclusions
- Tetrastarch was found to be effective in increasing COP for 3 hours post-infusion, suggesting that it was well tolerated by the foals as no negative clinical effects were reported.
- Despite these positive findings, more research is suggested to determine optimal dosing and effects in clinically ill foals.
Cite This Article
APA
Hepworth-Warren KL, Wong DM, Hay-Kraus BL, Wang C, Sun Y.
(2015).
Effects of administration of a synthetic low molecular weight/low molar substitution hydroxyethyl starch solution in healthy neonatal foals.
Can Vet J, 56(10), 1069-1074.
Publication
Researcher Affiliations
- Department of Veterinary Clinical Sciences (Hepworth-Warren, Wong, Hay-Kraus) and Veterinary Diagnostic and Production Medicine (Wang, Sun), College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
- Department of Veterinary Clinical Sciences (Hepworth-Warren, Wong, Hay-Kraus) and Veterinary Diagnostic and Production Medicine (Wang, Sun), College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
- Department of Veterinary Clinical Sciences (Hepworth-Warren, Wong, Hay-Kraus) and Veterinary Diagnostic and Production Medicine (Wang, Sun), College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
- Department of Veterinary Clinical Sciences (Hepworth-Warren, Wong, Hay-Kraus) and Veterinary Diagnostic and Production Medicine (Wang, Sun), College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
- Department of Veterinary Clinical Sciences (Hepworth-Warren, Wong, Hay-Kraus) and Veterinary Diagnostic and Production Medicine (Wang, Sun), College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
MeSH Terms
- Animals
- Blood Coagulation / drug effects
- Colloids
- Erythrocyte Count / veterinary
- Female
- Heart Rate / drug effects
- Hematocrit / veterinary
- Horses / blood
- Hydroxyethyl Starch Derivatives / pharmacology
- Isotonic Solutions / pharmacology
- Lactic Acid / blood
- Leukocyte Count / veterinary
- Male
- Osmotic Pressure
- Respiration / drug effects
References
This article includes 29 references
- Cook VL, Bain FT. Volume (crystalloid) replacement in the ICU patient.. Clin Tech Eq Pract 2003;2:122–129.
- Magdesian KG, Madigan JE. Volume replacement in the neonatal ICU: Crystalloids and colloids.. Clin Tech Eq Pract 2003;2:20–30.
- Boura C, Caron A, Longrois D, Mertes PM, Labrude P, Menu P. Volume expansion with modified hemoglobin solution, colloids, or crystalloid after hemorrhagic shock in rabbits: effects in skeletal muscle oxygen pressure and use versus arterial blood velocity and resistance.. Shock 2003 Feb;19(2):176-82.
- Friedman Z, Berkenstadt H, Preisman S, Perel A. A comparison of lactated ringer's solution to hydroxyethyl starch 6% in a model of severe hemorrhagic shock and continuous bleeding in dogs.. Anesth Analg 2003 Jan;96(1):39-45, table of contents.
- Schortgen F, Lacherade JC, Bruneel F, Cattaneo I, Hemery F, Lemaire F, Brochard L. Effects of hydroxyethylstarch and gelatin on renal function in severe sepsis: a multicentre randomised study.. Lancet 2001 Mar 24;357(9260):911-6.
- Strunden MS, Heckel K, Goetz AE, Reuter DA. Perioperative fluid and volume management: physiological basis, tools and strategies.. Ann Intensive Care 2011 Mar 21;1(1):2.
- Blong AE, Epstein KL, Brainard BM. In vitro effects of three formulations of hydroxyethyl starch solutions on coagulation and platelet function in horses.. Am J Vet Res 2013 May;74(5):712-20.
- Nearman HS, Herman ML. Toxic effects of colloids in the intensive care unit.. Crit Care Clin 1991 Jul;7(3):713-23.
- Moran M, Kapsner C. Acute renal failure associated with elevated plasma oncotic pressure.. N Engl J Med 1987 Jul 16;317(3):150-3.
- Epstein KL, Bergren A, Giguère S, Brainard BM. Cardiovascular, colloid osmotic pressure, and hemostatic effects of 2 formulations of hydroxyethyl starch in healthy horses.. J Vet Intern Med 2014 Jan-Feb;28(1):223-33.
- Schusser GF, Rieckhoff K, Ungemach FR, Huskamp NH, Scheidemann W. Effect of hydroxyethyl starch solution in normal horses and horses with colic or acute colitis.. J Vet Med A Physiol Pathol Clin Med 2007 Dec;54(10):592-8.
- Jones PA, Tomasic M, Gentry PA. Oncotic, hemodilutional, and hemostatic effects of isotonic saline and hydroxyethyl starch solutions in clinically normal ponies.. Am J Vet Res 1997 May;58(5):541-8.
- Langeron O, Doelberg M, Ang ET, Bonnet F, Capdevila X, Coriat P. Voluven, a lower substituted novel hydroxyethyl starch (HES 130/0.4), causes fewer effects on coagulation in major orthopedic surgery than HES 200/0.5.. Anesth Analg 2001 Apr;92(4):855-62.
- Konrad CJ, Markl TJ, Schuepfer GK, Schmeck J, Gerber HR. In vitro effects of different medium molecular hydroxyethyl starch solutions and lactated Ringer's solution on coagulation using SONOCLOT.. Anesth Analg 2000 Feb;90(2):274-9.
- Blasco V, Leone M, Antonini F, Geissler A, Albanèse J, Martin C. Comparison of the novel hydroxyethylstarch 130/0.4 and hydroxyethylstarch 200/0.6 in brain-dead donor resuscitation on renal function after transplantation.. Br J Anaesth 2008 Apr;100(4):504-8.
- Westphal M, James MF, Kozek-Langenecker S, Stocker R, Guidet B, Van Aken H. Hydroxyethyl starches: different products--different effects.. Anesthesiology 2009 Jul;111(1):187-202.
- Ertmer C, Köhler G, Rehberg S, Morelli A, Lange M, Ellger B, Pinto BB, Rübig E, Erren M, Fischer LG, Van Aken H, Westphal M. Renal effects of saline-based 10% pentastarch versus 6% tetrastarch infusion in ovine endotoxemic shock.. Anesthesiology 2010 Apr;112(4):936-47.
- Mizzi A, Tran T, Karlnoski R, Anderson A, Mangar D, Camporesi EM. Voluven, a new colloid solution.. Anesthesiol Clin 2011 Sep;29(3):547-55.
- Viljoen A, Page PC, Fosgate GT, Saulez MN. Coagulation, oncotic and haemodilutional effects of a third-generation hydroxyethyl starch (130/0.4) solution in horses.. Equine Vet J 2014 Nov;46(6):739-44.
- Palmer JE. Fluid therapy in the neonate: not your mother's fluid space.. Vet Clin North Am Equine Pract 2004 Apr;20(1):63-75.
- Wiedermann CJ, Joannidis M. Accumulation of hydroxyethyl starch in human and animal tissues: a systematic review.. Intensive Care Med 2014 Feb;40(2):160-170.
- Patel A, Waheed U, Brett SJ. Randomised trials of 6% tetrastarch (hydroxyethyl starch 130/0.4 or 0.42) for severe sepsis reporting mortality: systematic review and meta-analysis.. Intensive Care Med 2013 May;39(5):811-22.
- Green SL, Conlon PD, Mama K, Baird JD. Effects of hypoxia and azotaemia on the pharmacokinetics of amikacin in neonatal foals.. Equine Vet J 1992 Nov;24(6):475-9.
- Fenger-Eriksen C, Tønnesen E, Ingerslev J, Sørensen B. Mechanisms of hydroxyethyl starch-induced dilutional coagulopathy.. J Thromb Haemost 2009 Jul;7(7):1099-105.
- Ertmer C, Kampmeier TG, Rehberg S, Morelli A, Köhler G, Lange M, Bollen Pinto B, Höhn C, Hahnenkamp K, Van Aken H, Westphal M. Effects of balanced crystalloid vs. 0.9% saline-based vs. balanced 6% tetrastarch infusion on renal function and tubular integrity in ovine endotoxemic shock.. Crit Care Med 2011 Apr;39(4):783-92.
- Myburgh JA, Finfer S, Bellomo R, Billot L, Cass A, Gattas D, Glass P, Lipman J, Liu B, McArthur C, McGuinness S, Rajbhandari D, Taylor CB, Webb SA. Hydroxyethyl starch or saline for fluid resuscitation in intensive care.. N Engl J Med 2012 Nov 15;367(20):1901-11.
- Perner A, Haase N, Guttormsen AB, Tenhunen J, Klemenzson G, Åneman A, Madsen KR, Møller MH, Elkjær JM, Poulsen LM, Bendtsen A, Winding R, Steensen M, Berezowicz P, Søe-Jensen P, Bestle M, Strand K, Wiis J, White JO, Thornberg KJ, Quist L, Nielsen J, Andersen LH, Holst LB, Thormar K, Kjældgaard AL, Fabritius ML, Mondrup F, Pott FC, Møller TP, Winkel P, Wetterslev J. Hydroxyethyl starch 130/0.42 versus Ringer's acetate in severe sepsis.. N Engl J Med 2012 Jul 12;367(2):124-34.
- Classen J, Adamik KN, Weber K, Rubenbauer S, Hartmann K. In vitro effect of hydroxyethyl starch 130/0.42 on canine platelet function.. Am J Vet Res 2012 Dec;73(12):1908-12.
- Boldt J. Modern rapidly degradable hydroxyethyl starches: current concepts.. Anesth Analg 2009 May;108(5):1574-82.
Citations
This article has been cited 1 times.- Boyd CJ, Brainard BM, Smart L. Intravenous Fluid Administration and the Coagulation System.. Front Vet Sci 2021;8:662504.
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