Clinical Medicine Research

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The Efficacy of Intraosseous Blood and Ringer Lactate in a Rabbit Model of Hemorrhagic Hypovolemia

Received: 15 April 2013    Accepted:     Published: 10 March 2013
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Abstract

Purpose: In this study, flow rates of intraosseously (IO) or intravenously (IV) administered fluids (blood or Ringer lactate) and their effects on vital signs were examined in a rabbit model of hypovolemia. Methods: Underanesthesia, 20 mL of blood was removed from each of the 36 New Zealand-type rabbits. Ten minutes later, each group of nine rabbits received one of four fluids by gravity flow from a height of 100 cm: blood via IO, Ringer Laktat (RL) via IO, blood via IV, or RL via IV. IO fluids were given in the proximal tibia through a 15 g needle placed with an EZ-IO instrument; IV fluids were given through a 22g catheter in the femoral vein. Vital signs were monitored for four hours after the infusion ended. Results: Flow rates were blood IO 2.6 mL/min, RL IO 3.4 mL/min, blood IV 3.2 mL/min, and RL IV 11.8 mL/min. Ten minutes after fluid administration ended, in the RL via IO group, heart rate was significantly slower than preinfusion; in the blood via IO group, body temperature was significantly lower than preinfusion, and in the blood via IO group, StO2 saturation was higher than preinfusion. Postinfusion respiratory rates within groups were not significantly different than preinfusion rates. Vital sign changes between groups were not significantly different. Conclusion: Fluids given by gravity feed through an IO needle were effective in treating hypovolemia in this rabbit model, but the flow of RL and blood were significantly slower through the 15g IO needle than the 22g IV catheter.

DOI 10.11648/j.cmr.20130202.13
Published in Clinical Medicine Research (Volume 2, Issue 2, March 2013)
Page(s) 18-23
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Intraosseous Infusion, Flow Rate, Blood Infusion

References
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  • APA Style

    Tanzer Korkmaz, S. Hakan Atalgın, H. Ali Kilicgun, Onursal Bugra, Nurettin Kahramansoy. (2013). The Efficacy of Intraosseous Blood and Ringer Lactate in a Rabbit Model of Hemorrhagic Hypovolemia. Clinical Medicine Research, 2(2), 18-23. https://doi.org/10.11648/j.cmr.20130202.13

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    ACS Style

    Tanzer Korkmaz; S. Hakan Atalgın; H. Ali Kilicgun; Onursal Bugra; Nurettin Kahramansoy. The Efficacy of Intraosseous Blood and Ringer Lactate in a Rabbit Model of Hemorrhagic Hypovolemia. Clin. Med. Res. 2013, 2(2), 18-23. doi: 10.11648/j.cmr.20130202.13

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    AMA Style

    Tanzer Korkmaz, S. Hakan Atalgın, H. Ali Kilicgun, Onursal Bugra, Nurettin Kahramansoy. The Efficacy of Intraosseous Blood and Ringer Lactate in a Rabbit Model of Hemorrhagic Hypovolemia. Clin Med Res. 2013;2(2):18-23. doi: 10.11648/j.cmr.20130202.13

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  • @article{10.11648/j.cmr.20130202.13,
      author = {Tanzer Korkmaz and S. Hakan Atalgın and H. Ali Kilicgun and Onursal Bugra and Nurettin Kahramansoy},
      title = {The Efficacy of Intraosseous Blood and Ringer Lactate in a Rabbit Model of Hemorrhagic Hypovolemia},
      journal = {Clinical Medicine Research},
      volume = {2},
      number = {2},
      pages = {18-23},
      doi = {10.11648/j.cmr.20130202.13},
      url = {https://doi.org/10.11648/j.cmr.20130202.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20130202.13},
      abstract = {Purpose: In this study, flow rates of intraosseously (IO) or intravenously (IV) administered fluids (blood or Ringer lactate) and their effects on vital signs were examined in a rabbit model of hypovolemia. Methods: Underanesthesia, 20 mL of blood was removed from each of the 36 New Zealand-type rabbits. Ten minutes later, each group of nine rabbits received one of four fluids by gravity flow from a height of 100 cm: blood via IO, Ringer Laktat (RL) via IO, blood via IV, or RL via IV. IO fluids were given in the proximal tibia through a 15 g needle placed with an EZ-IO instrument; IV fluids were given through a 22g catheter in the femoral vein. Vital signs were monitored for four hours after the infusion ended. Results: Flow rates were blood IO 2.6 mL/min, RL IO 3.4 mL/min, blood IV 3.2 mL/min, and RL IV 11.8 mL/min. Ten minutes after fluid administration ended, in the RL via IO group, heart rate was significantly slower than preinfusion; in the blood via IO group, body temperature was significantly lower than preinfusion, and in the blood via IO group, StO2 saturation was higher than preinfusion. Postinfusion respiratory rates within groups were not significantly different than preinfusion rates. Vital sign changes between groups were not significantly different. Conclusion: Fluids given by gravity feed through an IO needle were effective in treating hypovolemia in this rabbit model, but the flow of RL and blood were significantly slower through the 15g IO needle than the 22g IV catheter.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - The Efficacy of Intraosseous Blood and Ringer Lactate in a Rabbit Model of Hemorrhagic Hypovolemia
    AU  - Tanzer Korkmaz
    AU  - S. Hakan Atalgın
    AU  - H. Ali Kilicgun
    AU  - Onursal Bugra
    AU  - Nurettin Kahramansoy
    Y1  - 2013/03/10
    PY  - 2013
    N1  - https://doi.org/10.11648/j.cmr.20130202.13
    DO  - 10.11648/j.cmr.20130202.13
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 18
    EP  - 23
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20130202.13
    AB  - Purpose: In this study, flow rates of intraosseously (IO) or intravenously (IV) administered fluids (blood or Ringer lactate) and their effects on vital signs were examined in a rabbit model of hypovolemia. Methods: Underanesthesia, 20 mL of blood was removed from each of the 36 New Zealand-type rabbits. Ten minutes later, each group of nine rabbits received one of four fluids by gravity flow from a height of 100 cm: blood via IO, Ringer Laktat (RL) via IO, blood via IV, or RL via IV. IO fluids were given in the proximal tibia through a 15 g needle placed with an EZ-IO instrument; IV fluids were given through a 22g catheter in the femoral vein. Vital signs were monitored for four hours after the infusion ended. Results: Flow rates were blood IO 2.6 mL/min, RL IO 3.4 mL/min, blood IV 3.2 mL/min, and RL IV 11.8 mL/min. Ten minutes after fluid administration ended, in the RL via IO group, heart rate was significantly slower than preinfusion; in the blood via IO group, body temperature was significantly lower than preinfusion, and in the blood via IO group, StO2 saturation was higher than preinfusion. Postinfusion respiratory rates within groups were not significantly different than preinfusion rates. Vital sign changes between groups were not significantly different. Conclusion: Fluids given by gravity feed through an IO needle were effective in treating hypovolemia in this rabbit model, but the flow of RL and blood were significantly slower through the 15g IO needle than the 22g IV catheter.
    VL  - 2
    IS  - 2
    ER  - 

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Author Information
  • Abant ?zzet Baysal University, Faculty of Medicine, Department of Emergency

  • Abant ?zzet Baysal Universty Faculty of medicine, Department of Thoracic Surgery

  • Abant ?zzet Baysal University Faculty of Medicine, Department of Cardiovascular Surgery

  • Abant ?zzet Baysal University Faculty of Medicine, General Surgery

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