Effects of different fluid resuscitation speeds on blood glucose and interleukin-1 beta in hemorrhagic shock.
BACKGROUND
Fluid resuscitation is an important treatment for hemorrhagic shock. However, evidence of guidelines for fluid resuscitation is limited. The expressions of blood glucose and proinflammatory cytokines under different resuscitation rates are still unknown. In this study, the status of blood glucose and interleukin-1beta (IL-1beta) between rapid and slow fluid resuscitation for hemorrhagic shock were compared.


METHODS
Twenty-four male Wistar-Kyoto rats were used in the study. The volume of blood withdrawal was 40% of the total blood volume of a rat and fluid resuscitation was given immediately after blood withdrawal. Rats were randomly divided into control group, 10 minutes rapid group, and 12 hours slow group.


RESULTS
Our findings show that a 10 minutes rapid infusion may provide the blood pressure and heart rate stability at early phase of hemorrhage. Moreover, rapid infusion decreases blood glucose and IL-1beta at 1, 3, 6, 9, 12, 18, and 48 hours after fluid resuscitation. However, the levels of glucose and IL-1beta were not different between control and the slow group.


CONCLUSIONS
Rapid fluid resuscitation ameliorates hyperglycemia and inflammatory response after hemorrhagic shock. Knowledge of advanced treatment will facilitate optimal care delivery for patients with hemorrhagic shock.
Subeq
Yi-Maun
YM
Department of Nursing, Laboratory of Physiological Nursing, Tzu Chi University, Hualien, Taiwan.
Peng
Tai Chu
TC
Hsu
Bang Gee
BG
Lin
Nien Tsung
NT
Chao
Yann Fen C
YF
Hu
Tsung-Ming
TM
Lee
Ru-Ping
RP
D000818:Animals; D001786:Blood Glucose / Q000378:metabolism*; D001794:Blood Pressure / Q000502:physiology; D005440:Fluid Therapy / Q000379:methods*; D006339:Heart Rate / Q000502:physiology; D006400:Hematocrit; D006452:Hemoglobinometry; D053583:Interleukin-1beta / Q000097:blood*; D007770:L-Lactate Dehydrogenase / Q000097:blood; D019344:Lactic Acid / Q000097:blood; D008297:Male; D010976:Platelet Count; D051381:Rats; D011921:Rats, Inbred WKY; D012151:Resuscitation / Q000379:methods*; D012771:Shock, Hemorrhagic / Q000097:blood*; D013997:Time Factors
D001786:Blood Glucose; D053583:Interleukin-1beta; D019344:Lactic Acid; D007770:L-Lactate Dehydrogenase