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Lumbal Disk Operasyonlarında %10 Hydroxy-Ethyl-Starch, %5 Ringer Laktat Dekstroz ve %0.9 NaCl solüsyonlarının Plazma ozmolalitesi Üzerine Etkileri

No changes in plasma osmolality after hydroxyethyl-starch 10%, ringer lactate dextrose 5%, and NaCl 0.9% on lumbar disc surgery

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Abstract (2. Language): 
During the last few years it has been shown that osmolality more than hydrostatic or oncotic pressures effects the water movements' trough the blood brain barrier. The goal of the present study was to compare the effect on plasma osmolality of the infusion of different currently used solutions. Patients scheduled for lumbar intervertebral disc surgery received either NaCl %0.9, Ringer Lactate Dextrose 5% or Hydroxyethyl-Starch 10%. All of the selected solutions maintain plasma osmolality. We did not find any statistically different plasma osmolality changes between groups. We must take into account that dextrose in Ringer Lactate is harmful for patients cerebral ischemia susceptible. [Journal of Turgut Özal Medical Center 1997;4(2):161-164]
Abstract (Original Language): 
Son yıllarda yapılan çalışmalarda kan beyin bariyerinin iki tarafı arasındaki sıvı geçişinin hidrostatik veya onkotik basınç değişikliklerinden değil de ozmolaliteden etkilendiği gösterilmiştir. Bu çalışmanın amacı halen kullandığımız değişik solüsyonların plazma ozmolalitesi üzerine etkilerini araştırmaktı. Lumbar intervertebral disk ameliyatı olacak hastalara % 0.9 \d( 7, % 5 Dekstroz Ringer Laktat veya % 10 Hidroxyethyl-Starch verildi. Seçilen solüsyonların hiçbiri plazma ozmolalitesini değiştirmedi. Ancak serebral is kem i riski olan hastalarda dekstroz içeren Ringer Laktatın kullanılmasında dikkatli olmamız gerekir. [Turgut Özal Tıp Merkezi Dergisi 1997;4(2):161-164]
161-164

REFERENCES

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