Clinical study of sodium bicarbonated Ringer’s solution on fluid resuscitation of patients with hemorrhagic shock

L.-Q. Yu, C.-C. Meng, X.-S. Jin, J. Cai

Emergency Medical Center, Wuwei People’s Hospital, Gansu, China. jinxishengjxs@163.com

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• Emergency Medicine

OBJECTIVE: Fluid resuscitation is a crucial step in shock treatment, but the choice of crystal solution remains controversial. Sodium bicarbonated Ringer’s solution can not only effectively expand blood volume, but also reduce tissue damage and acidosis. The study aims to evaluate the resuscitation effect of sodium bicarbonated Ringer’s solution on patients with hemorrhagic shock.

PATIENTS AND METHODS: A total of 96 patients with hemorrhagic shock were randomly assigned to receive either normal saline solution (control group) or sodium bicarbonated Ringer’s solution (experimental group). The changes in blood lactate, heart rate, arterial pH and mean arterial pressure (MAP) were measured at different time points. The 28-day survival rate, the incidence of complications, and the average length of hospital stay were recorded. Simult

RESULTS: The heart rate, blood lactate, sodium, and chloride in the experimental group were significantly lower than those in the control group, while the MAP, potential of hydrogen (pH), bicarbonate, and base excess in the experimental group were significantly higher than those in the control group at every observed time point after resuscitation (p<0.05). Compared with the control group, the experimental group had a lower incidence of acute respiratory distress syndrome (ARDS) (8.3% vs. 22.9%, p<0.05), shorter mechanical ventilation time (2.2 vs. 3.5, p<0.05), and shorter intensive care unit length of stay (3.8 vs. 4.1, p<0.05). The 28-day survival rate between the two groups showed no significant differences (p>0.05).

CONCLUSIONS: Early resuscitation with sodium bicarbonated Ringer’s solution could better maintain acid-base balance and hemodynamic stability and reduce the risk of related complications.

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