Blood Volume, Intracellular and Extracellular Fluid Spaces in Normal Dogs and in Dogs With Ascites Secondary to Severe Tricuspid Insufficiency

1956 ◽  
Vol 184 (2) ◽  
pp. 282-286 ◽  
Author(s):  
Basdeo Balkissoon ◽  
Mitchell W. Spellman ◽  
Edward W. Hawthorne
Keyword(s):  
Blood Volume ◽  
Rose Bengal ◽  
Extracellular Fluid ◽  
Hepatic Function ◽  
Intracellular Space ◽  
Tricuspid Insufficiency ◽  
Rose Bengal Dye ◽  
Total Body ◽  
Surgically Induced ◽  
The Rose

Twenty-two normal and 12 dogs with ascites secondary to surgically induced isolated, total tricuspid insufficiency or a combination of tricuspid insufficiency with bilateral arteriovenous fistulae in the hind extremities were studied. In the ascitic animals: a) the blood volume, as determined by the use of rose bengal dye, increased secondary to an elevation in the plasma volume. b) The total body water, as measured by use of antipyrine, remained unchanged but the thiocyanate space increased and the calculated intracellular space was comparably diminished. c) The excretory hepatic function as evaluated by the rose bengal dye method was significantly depressed whereas the capacity of the liver to excrete bromsulfalein was not impaired. This investigation provides a basis for evaluating the influences of adrenalectomy among a similar group of ascitic dogs with tricuspid insufficiency.

Fluid and electrolyte physiology in anaesthetic practice

2017 ◽  
Author(s):  
Robert G. Hahn
Keyword(s):  
Blood Volume ◽  
Body Fluid ◽  
Extracellular Fluid ◽  
Haemorrhagic Shock ◽  
The Body ◽  
Intracellular Space ◽  
Fluid Compartment ◽  
Life Saving ◽  
Total Body ◽  
Infusion Fluid

The maintenance of body fluid homeostasis is an essential task in perioperative care. Body fluid volumes are tightly controlled by the nervous system, by hormones, and by the kidneys. All these systems are affected by anaesthesia and surgery in ways that must be appreciated by the anaesthetist. Administration of infusion fluids is the key tool to prevent major derangements of the body fluid volumes during before, during, and after surgery. By varying its composition, an infusion fluid can be made to selectively expand or shrink a body fluid compartment. The total osmolality determines whether the infused volume distributes over the total body water or over the extracellular fluid volume, or even attracts fluid from intracellular space. Infusion fluid is the first-line tool in the management of the vasodilation that is induced by both general and regional anaesthesia. Fluids are also an essential component in the treatment of haemorrhage, in which a reduction in arterial pressure implies that 20% of the blood volume has been lost. Capillary refill restores the blood volume, but too slowly to prevent haemorrhagic shock. In this situation, prompt intravenous fluid therapy is life-saving. Electrolyte derangements may be induced by disease and/or medication. The most essential ones to consider during anaesthesia are sodium, potassium, calcium, and bicarbonate.

Use of Continuous Blood Volume Monitoring to Detect Inadequately High Dry Weight

1996 ◽  
Vol 19 (7) ◽  
pp. 411-414 ◽  
Author(s):  
F. Lopot ◽  
P. Kotyk ◽  
J. Bláha ◽  
J. Forejt
Keyword(s):  
Blood Volume ◽  
Vena Cava ◽  
Extracellular Fluid ◽  
Dry Weight ◽  
Whole Body ◽  
The Status ◽  
Varying Length ◽  
Group 3 ◽  
Group 2 ◽  
Total Body

A continuous blood volume monitoring (CBVM) device (Inline Diagnostics, Riverdale, USA) was used to study response to prescribed ultrafiltration during haemodialysis (HD) in 66 stabilised HD patients. Fifty percent of patients showed the expected linear decrease in BV right from the beginning of HD (group 1), 32% exhibited no decrease at all (group 2), while eighteen percent formed the transient group 3 which showed a plateau of varying length after which a decrease occurred. The correct setting of dry weight was verified through evaluation of the ratio of extracellular fluid volume to total body water (VEC/TBW) in 26 patients by means of whole body multifrequency impedometry MFI (Xitron Tech., San Diego, USA) and through measurement of the Vena Cava Inferior diameter (VCID) pre and post HD (in 6 and 5 patients from groups 1 and 3 and from group 2, respectively). The mean VEC/TBW in groups 1 and 3 was 0.56 pre and 0.51 post HD as compared to 0.583 and 0.551 in group 2. VCID decreased on average by 14.1% in groups 1 and 3 but remained stable in group 2. Both findings thus confirmed inadequately high estimation of dry weight. Since CBVM is extremely easy to perform it can be used as a method of choice in detecting inadequately high prescribed dry weight. The status of the cardiovascular system must always be considered before final judgement is made.

Seasonal changes in total body water, extracellular fluid, and blood volume in grazing reindeer

1972 ◽  
Vol 50 (1) ◽  
pp. 107-116 ◽  
Author(s):  
R. D. Cameron ◽  
J. R. Luick
Keyword(s):  
Body Weight ◽  
Blood Volume ◽  
Total Body Water ◽  
Tritiated Water ◽  
Extracellular Fluid ◽  
Body Water ◽  
Late Spring ◽  
Water Volume ◽  
Sodium Chromate ◽  
Total Body

The effects of climatic and nutritional changes on body fluid compartmentalization and turnover were investigated in grazing female reindeer. Total body water volume and turnover, extracellular fluid volume, and blood volume were estimated using tritiated water, sodium sulfate-35S, and sodium chromate-51Cr, respectively. During winter and spring, body weights were either maintained or reduced while total body water (percentage of body weight) increased, resulting in appreciable losses of total body solids. In summer, large gains in body weight were accompanied by reduced total body water volumes resulting in substantial increases in body solids. An apparent fluid shift from the intravascular to the extracellular compartment during late spring suggested the occurrence of a starvation edema. Mean water flux rates (ml/day per kilogram body weight) were higher in late spring than during other seasons; lowest values were recorded in early winter. Seasonal variations in nutritional status as reflected by body composition and fluid compartmentalization, and changes in water turnover are discussed in relation to climate and the quality and availability of forage. The complicating influences of pregnancy and lactation are also considered.

scholarly journals Total Body Irradiation for Hematopoietic Stem Cell Transplantation: What Can We Agree on?

2021 ◽  
Vol 28 (1) ◽  
pp. 903-917
Author(s):  
Mitchell Sabloff ◽  
Steven Tisseverasinghe ◽  
Mustafa Ege Babadagli ◽  
Rajiv Samant
Keyword(s):  
Cell Transplantation ◽  
Total Body Irradiation ◽  
Hematopoietic Cell Transplantation ◽  
Conditioning Regimen ◽  
Late Toxicity ◽  
Hepatic Function ◽  
Vascular Supply ◽  
Entire Body ◽  
Hematopoietic Stem ◽  
Total Body

Total body irradiation (TBI), used as part of the conditioning regimen prior to allogeneic and autologous hematopoietic cell transplantation, is the delivery of a relatively homogeneous dose of radiation to the entire body. TBI has a dual role, being cytotoxic and immunosuppressive. This allows it to eliminate disease and create “space” in the marrow while also impairing the immune system from rejecting the foreign donor cells being transplanted. Advantages that TBI may have over chemotherapy alone are that it may achieve greater tumour cytotoxicity and better tissue penetration than chemotherapy as its delivery is independent of vascular supply and physiologic barriers such as renal and hepatic function. Therefore, the so-called “sanctuary” sites such as the central nervous system (CNS), testes, and orbits or other sites with limited blood supply are not off-limits to radiation. Nevertheless, TBI is hampered by challenging logistics of administration, coordination between hematology and radiation oncology departments, increased rates of acute treatment-related morbidity and mortality along with late toxicity to other tissues. Newer technologies and a better understanding of the biology and physics of TBI has allowed the field to develop novel delivery systems which may help to deliver radiation more safely while maintaining its efficacy. However, continued research and collaboration are needed to determine the best approaches for the use of TBI in the future.

scholarly journals The Rose Bengal Test in Human Brucellosis: A Neglected Test for the Diagnosis of a Neglected Disease

2011 ◽  
Vol 5 (4) ◽  
pp. e950 ◽  
Author(s):  
Ramón Díaz ◽  
Aurora Casanova ◽  
Javier Ariza ◽  
Ignacio Moriyón
Keyword(s):  
Rose Bengal ◽  
Human Brucellosis ◽  
Neglected Disease ◽  
Rose Bengal Test ◽  
The Rose

scholarly journals Profound Hypokalaemia Resulting in Maternal Cardiac Arrest: A Catastrophic Complication of Hyperemesis Gravidarum?

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Anna Walch ◽  
Madeline Duke ◽  
Travis Auty ◽  
Audris Wong
Keyword(s):  
Cardiac Arrest ◽  
Hyperemesis Gravidarum ◽  
Extracellular Fluid ◽  
Nutritional Deficiencies ◽  
Normal Limits ◽  
Life Threatening ◽  
Total Body ◽  
Anuric Renal Failure ◽  
Hospital Cardiac Arrest ◽  
In Pregnancy

We present a case of a 39-year-old G8P6 Pacific Islander woman who at 15+5 weeks’ gestation had an out-of-hospital cardiac arrest secondary to profound hypokalaemia which was associated with severe hyperemesis gravidarum (HG). Her clinical course after arrest was complicated by a second 5-minute cardiac arrest in the Intensive Care Unit (ICU) (pre-arrest potassium 1.8), anuric renal failure requiring dialysis, ischaemic hepatitis, and encephalopathy and unfortunately fetal demise and a spontaneous miscarriage on day 2 of admission. Despite these complications, she was discharged home 4 weeks later with a full recovery. Following a plethora of inpatient and outpatient investigations, the cause of her cardiac arrest was determined to be profound hypokalaemia. The hypokalaemia was presumed second to a perfect storm of HG with subsequent nutritional deficiencies causing electrolyte wasting, extracellular fluid (ECF) volume reduction, and activation of the renin-angiotensin-aldosterone axis (RAAS). This combined with the physiological changes that promote potassium wasting in pregnancy including volume expansion, increased renal blood flow, increased glomerular filtration rate, and increase in cortisol contributed to the patient having a profoundly low total body potassium level. This diagnosis is further strengthened by the fact that her pre- and post-pregnancy potassium levels were within normal limits in the absence of supplementary potassium. This case highlights the potentially life-threatening electrolyte imbalances that can occur with HG and the importance of recognising the disease, comprehensive electrolyte monitoring, and aggressive management in pregnancy.

A Study on the Distribution of Body Fluids after Rapid Saline Expansion in Normal Subjects and in Patients with Renal Insufficiency: Preferential Intravascular Deposition in Renal Failure

1983 ◽  
Vol 64 (2) ◽  
pp. 153-160 ◽  
Author(s):  
Hendrik A. Koomans ◽  
Anton B. Geers ◽  
Peter Boer ◽  
Jan C. Roos ◽  
Evert J. Dorhout Mees
Keyword(s):  
Renal Failure ◽  
Blood Volume ◽  
Plasma Volume ◽  
Extracellular Fluid ◽  
Normal Subjects ◽  
Distribution Volume ◽  
Fluid Distribution ◽  
Severe Renal Failure ◽  
Control Value ◽  
Stage Renal Disease

1. The effect of rapid intravenous infusion of 25 ml of isotonic sodium chloride solution (saline)/kg body weight on extracellular fluid volume (ECFV, 82Br distribution volume), plasma volume (131I-labelled albumin distribution volume) and blood volume (from plasma volume and packed cell volume) was studied in nine normal subjects and a group of 11 patients with end-stage renal disease (ESRD). 2. Immediately after the infusion, the increases in ECFV were equal in the two groups but the increases in plasma and blood volumes were significantly larger in the patients with ESRD. .3. Ninety minutes after the end of the infusion, the blood volume/ECFV ratio was significantly decreased from the control value in the normal subjects, but slightly increased in the patients with ESRD. 4. It is concluded that in severe renal failure the control of fluid distribution is changed in a way which leads to a preferential distribution of rapidly infused saline into the intravascular compartment.

Sodium Regulation in the Freshwater Mollusc Limnaea Stagnalis (L.) (Gastropoda: Pulmonata)

1970 ◽  
Vol 53 (1) ◽  
pp. 147-163 ◽  
Author(s):  
PETER GREENAWAY
Keyword(s):  
Blood Volume ◽  
Tap Water ◽  
Sodium Concentration ◽  
Sodium Balance ◽  
Uptake Mechanism ◽  
Sodium Influx ◽  
Sodium Uptake ◽  
Limnaea Stagnalis ◽  
Total Body ◽  
Sodium Regulation

1. Sodium regulation in normal, sodium-depleted and blood-depleted snails has been investigated. 2. Limnaea stagnalis has a sodium uptake mechanism with a high affinity for sodium ions, near maximum influx occurring in external sodium concentrations of 1.5-2 mM-Na/l and half maximum influx at 0.25 mM-Na/l. 3. L. stagnalis can maintain sodium balance in media containing 0.025 mM-Na/l. Adaptation to this concentration is achieved mainly by an increased rate of sodium uptake and a fall of 37 % in blood sodium concentration, but also by a reduction of the sodium loss rate and a decrease in blood volume. 4. A loss of 23% of total body sodium is necessary to stimulate increased sodium uptake. This loss causes near maximal stimulation of the sodium uptake mechanism. 5. An experimentally induced reduction of blood volume in L. stagnalis increases sodium uptake to three times the normal level. 6. About 40% of sodium influx from artificial tap water containing 0.35 mM-Na/l into normal snails is due to an exchange component. Similar exchange components of sodium influx were also observed in sodium-depleted and blood-depleted snails in the same external sodium concentration.

Sign in / Sign up

Export Citation Format

Share Document