Peer-reviewed veterinary case report
Effects of hydroxyethyl starch infusion on blood protein pressure
By Borrelli, Antonio et al.·Published in Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)·2020·Department of Veterinary Science, Italy·View original on PubMed →
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Original publication title: Evaluation of the effects of hydroxyethyl starch (130/0.4) administration as a constant rate infusion on plasma colloid osmotic pressure in hypoabluminemic dogs.
- Species:
- dog
Plain-English summary
A group of 24 dogs with low albumin levels (hypoalbuminemia) received a constant rate infusion of a fluid called hydroxyethyl starch (HES) to see if it could help improve their blood protein levels. The dogs were monitored over 24 hours, but the treatment did not significantly change their plasma colloid osmotic pressure, which is important for keeping fluids in the bloodstream. Some changes were noted in other blood parameters, but overall, the HES infusion did not have the desired effect.
People also search for: dog low albumin treatment · hypoalbuminemia in dogs · hydroxyethyl starch for dogs
Abstract
OBJECTIVE: To evaluate the effects of 2 constant rate infusions of hydroxyethyl starch (HES) 130/0.4 on plasma colloid osmotic pressure (COP) in hypoalbuminemic dogs. DESIGN: Prospective, randomized clinical trial. ANIMALS: A total of 24 client-owned dogs. INTERVENTIONS: Hypoalbuminemic euvolemic dogs (albumin < 20 g/L [<2 g/dL]) with normal perfusion parameters requiring IV fluid therapy were enrolled. In addition to crystalloid, HES 130/0.4 was administered as a constant rate infusion over 24 hours at 1 mL/kg/h (group 1, n = 15) or at 2 mL/kg/h (group 2, n = 9), in order to support plasma COP. Before infusion, a blood sample was collected to perform CBC, serum electrophoresis, and serologic tests for some infective diseases. Plasma COP, albumin concentration, PCV, and total plasma protein concentration were evaluated serially at baseline (T0) and then at 6, 12, and 24 hours after the start of infusion, and a multilevel model was performed for these parameters to detect statistically significant differences between the 2 groups. MEASUREMENT AND MAIN RESULTS: Twenty-four dogs were included. No statistically significant differences in COP were found between the 2 groups; however, a high level of variability has been identified within the single individual. Among the other laboratory analyses, PCV was significantly decreased in group 1 at T12 and T24 compared with T0 (P < 0.001) and total plasma protein concentration was significantly increased in group 2 at T12 and T24 compared with T0 (P < 0.008). CONCLUSION: No significant effect on plasma COP was found following infusion with HES 130/0.4 at doses of 1 mL/kg/h and 2 mL/kg/h for 24 hours to hypoalbuminemic dogs. The administered concomitant dose of crystalloids, underlying disease, and small sample size were all potential confounding factors.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32910831/