[Prospects for using hydroxyethyl starch in the complex of intensive care during interhospital transportation of critically ill patients with polytrauma].
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.
Shatalin
A V
AV
Kravtsov
S A
SA
Skopintsev
D A
DA
D000328:Adult; D003422:Critical Care / Q000379:methods* / Q000592:standards; D000077324:Crystalloid Solutions; D003911:Dextrans / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D005440:Fluid Therapy / Q000379:methods* / Q000592:standards; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000008:administration & dosage* / Q000009:adverse effects / Q000627:therapeutic use; D007552:Isotonic Solutions / Q000008:administration & dosage / Q000627:therapeutic use; D008875:Middle Aged; D009104:Multiple Trauma / Q000628:therapy*; D010952:Plasma Substitutes / Q000008:administration & dosage* / Q000009:adverse effects / Q000627:therapeutic use; D014187:Transportation of Patients / Q000379:methods* / Q000592:standards; D016896:Treatment Outcome; D055815:Young Adult
D000077324:Crystalloid Solutions; D003911:Dextrans; C485123:HES 130-0.4; D006895:Hydroxyethyl Starch Derivatives; D007552:Isotonic Solutions; D010952:Plasma Substitutes