No changes in plasma osmolality after hydroxyethyl-starch 10%, ringer lactate dextrose 5%, and NaCl 0.9% on lumbar disc surgery
Dr. Nergiz Küçük1, Dr. Gökhan Gökmen1, Dr. Leyla Yıldız2, Dr. Melek Çerçi2, Dr. Erhan Takçı3, Dr. Sebahattin Uslu1
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Abstract
During the last few years it has been shown that osmolality more than hydrostatic or oncotic pressures effects the water movements' trough the blood brain barrier. The goal of the present study was to compare the effect on plasma osmolality of the infusion of different currently used solutions. Patients scheduled for lumbar intervertebral disc surgery received either NaCl %0.9, Ringer Lactate Dextrose 5% or Hydroxyethyl- Starch 10%. All of the selected solutions maintain plasma osmolality. We did not find any statistically different plasma osmolality changes between groups. We must take into account that dextrose in Ringer Lactate is harmful for patients cerebral ischemia susceptible. [Journal of Turgut Ozal Medical Center 1997;4(2):161-164]
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