Accession Number : AD1033517


Title :   Variable Saline Concentrations for Initial Resuscitation Following Polytrauma


Descriptive Note : Technical Report,01 Aug 2014,01 Oct 2016


Corporate Author : USAFSAM/FHE Wright-Patterson AFB United States


Personal Author(s) : Goodman,Michael


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1033517.pdf


Report Date : 22 Feb 2017


Pagination or Media Count : 24


Abstract : Optimal resuscitation fluid of the injured patient has yet to be established. We investigated the utility of standard variable saline concentrations (0.9 , 3 , 23.4 ) in a murine polytrauma model of traumatic brain injury and hemorrhagic shock. Animals were evaluated for survival, hemodynamics, physiologic, and inflammatory response following injury and resuscitation. Our results demonstrated that high-concentration, low-volume saline resuscitation leads to increased mortality despite decreased posttraumatic cerebral edema. In addition, 3 saline may be the optimal crystalloid fluid to resuscitate in the setting of hypotension after head injury, as it limits ongoing inflammation, cerebral edema, and neurologic injury while preserving blood pressure and survival.


Distribution Statement : APPROVED FOR PUBLIC RELEASE