Peer-reviewed veterinary case report
Limited vs large fluid resuscitation for dogs with spontaneous
By Hammond, Tara N et al.·Published in Journal of the American Animal Hospital Association·2014·Department of Emergency/Critical Care, United States·View original on PubMed →
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Original publication title: A pilot comparison of limited versus large fluid volume resuscitation in canine spontaneous hemoperitoneum.
- Species:
- dog
Plain-English summary
An 8-year-old mixed-breed dog was brought in for severe bleeding and shock due to spontaneous hemoperitoneum, which is internal bleeding in the abdomen. The dog was treated with either a large volume of fluids or a smaller volume of hypertonic saline combined with a special fluid to help stabilize blood pressure. The dogs receiving the smaller volume of fluids stabilized much faster, taking about 20 minutes compared to 35 minutes for those receiving the larger volume. This suggests that using less fluid may be a quicker and effective way to treat this serious condition in dogs.
People also search for: dog spontaneous hemoperitoneum treatment · dog bleeding shock · dog fluid resuscitation options
Abstract
Treatment for hemorrhagic shock secondary to a spontaneous hemoperitoneum includes restoration of IV volume and surgical control of hemorrhage. This study was designed to determine if limited fluid volume resuscitation (LFVR) with hypertonic saline (HS) and hyperoncotic fluids (hydroxyethylstarch [HES]) results in more rapid cardiovascular stabilization in dogs with spontaneous hemoperitoneum versus conventional resuscitation (CR) with large volume resuscitation. Eighteen client-owned dogs presenting in hemorrhagic shock with a spontaneous hemoperitoneum were enrolled. Dogs were randomized to be fluid resuscitated with up to 90 mL/kg of an isotonic crystalloid (CR group) or up to 8 mL/kg of 7.2% Na chloride (i.e., HS) combined with up to 10 mL/kg of 6% HES. Measurements of vital signs, lactate, packed cell volume (PCV), total solids (TS), and blood pressure were made at standard time points. The primary end point was time to stabilization of hemodynamic parameters (measured in min). Dogs in the LFVR group achieved hemodynamic stabilization significantly faster (20 min; range, 10-25 min) than those in the CR group (35 min; range, 15-50 min; P = .027). Future studies are warranted to further investigate potential benefits associated with LFVR in dogs with spontaneous hemoperitoneum.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/24659726/