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Replacement of Blood With Crystalloid Fluids of Various Tonicities

Theodore I. Malinin, MD; Mark W. Wolcott, MD

AMA Arch Surg. 1973;106(1):86-89.

Abstract
Acellular nononcotic solutions of various osmolalities and compositions were tested for their life-sustaining abilities in acute hemorrhagic shock in rabbits where blood was replaced on a volume-for-volume basis. Osmolal and hyperosmolal solutions were more effective in sustaining life than conventionally used lactated Ringer's solution or hypoosmolal solutions. Survival rate of experimental animals was further improved and approached that obtained with reinfusion of autologous blood by the use of synthetic tissue culture type hyperosmolal solutions.

Author Affiliations
Miami, Fla; Salt Lake City

From the Department of Surgery, University of Miami School of Medicine, and the Veterans Administration Hospital, Miami, Fla; and the Department of Surgery, University of Utah School of Medicine and the Veterans Administration Hospital, Salt Lake City.

Footnotes
Accepted for publication Aug 22, 1972.

Reprint requests to Veterans Administration Hospital, Salt Lake City 84113 (Dr. Wolcott).

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