Sonoclot coagulation analysis of in-vitro haemodilution with resuscitation solutions

J R Soc Med. 2000 Oct;93(10):507-10. doi: 10.1177/014107680009301003.

Abstract

The colloid and crystalloid solutions used for resuscitation should preferably be free from effects on coagulation. In 10 volunteers, the effects of haemodilution with various concentrations of 0.9% sodium chloride and 4% succinylated gelatin were assessed by Sonoclot analysis, which describes the whole coagulation process. Small and moderate haemodilution (up to 40%) with 0.9% sodium chloride promoted coagulation. Similar haemodilution with 4% succinylated gelatin impaired coagulation, and at 60% haemodilution coagulation was very poor. These findings need to be confirmed in vivo and their clinical relevance determined.

MeSH terms

  • Blood Coagulation / drug effects*
  • Dose-Response Relationship, Drug
  • Gelatin / pharmacology
  • Hemodilution*
  • Humans
  • In Vitro Techniques
  • Plasma Substitutes / pharmacology*
  • Sodium Chloride / pharmacology
  • Succinates / pharmacology

Substances

  • Plasma Substitutes
  • Succinates
  • succinylated gelatin
  • Sodium Chloride
  • Gelatin