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THE USE OF NATURAL AND ARTIFICIAL PLASMA VOLUME EXPANDERS AND THE WET‐LUNG SYNDROME
Author(s) -
Gutteridge B. H.,
Shaw A. E.
Publication year - 1971
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1971.tb88134.x
Subject(s) - isotonic saline , medicine , blood volume , isotonic solutions , resuscitation , isotonic , saline , regimen , anesthesia , shock (circulatory) , lung , blood transfusion , intensive care medicine , surgery
The use of 1 to 2 I. of lactated Ringer's solution or Isotonic saline solution, followed by 0·5 to 1 I. of stable plasma protein solution (SPPS), as plasma volume expanders is advocated for initial resuscitation, before blood is used, in the treatment of the majority of patients suffering from acute blood loss sufficient to produce shock if untreated. This therapeutic regimen minimizes the risk of occurrence of the wet‐lung syndrome arising from either hypovolæmia or acute hypoproteinæmia and, by frequently avoiding the need for blood, diminishes the frequency of exposure to the hazards which accompany the transfusion of human blood cellular elements.