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Effect of Fluid Intake on Acute Changes in Plasma Volume: A Randomized Controlled Crossover Pilot Trial
oleh: Janis Schierbauer, Sabrina Sanfilippo, Auguste Grothoff, Ulrich Fehr, Nadine Wachsmuth, Thomas Voit, Paul Zimmermann, Othmar Moser
Format: | Article |
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Diterbitkan: | MDPI AG 2024-05-01 |
Deskripsi
Plasma volume (PV) undergoes constant and dynamic changes, leading to a large intra-day variability in healthy individuals. Hydration is known to induce PV changes; however, the response to the intake of osmotically different fluids is still not fully understood. In a randomized controlled crossover trial, 18 healthy individuals (10 females) orally received an individual amount of an isotonic sodium-chloride (ISO), Ringer (RIN), or glucose (GLU) solution. Hemoglobin mass (Hbmass) was determined with the optimized carbon monoxide re-breathing method. Fluid-induced changes in PV were subsequently calculated based on capillary hemoglobin concentration ([Hb]) and hematocrit (Hct) before and then every 10 minutes until 120 min (t<sub>0–120</sub>) after the fluid intake and compared to a control trial arm (CON), where no fluid was administered. Within GLU and CON trial arms, no statistically significant differences from baseline until t<sub>120</sub> were found (<i>p</i> > 0.05). In the ISO trial arm, PV was significantly increased at t<sub>70</sub> (+138 mL, <i>p</i> = 0.01), t<sub>80</sub> (+191 mL, <i>p</i> < 0.01), and t<sub>110</sub> (+182 mL, <i>p</i> = 0.01) when compared to t<sub>0</sub>. Moreover, PV in the ISO trial arm was significantly higher at t<sub>70</sub> (<i>p</i> = 0.02), t<sub>110</sub> (<i>p</i> = 0.04), and t<sub>120</sub> (<i>p</i> = 0.01) when compared to the same time points in the CON trial arm. Within the RIN trial arm, PV was significantly higher between t<sub>70</sub> and t<sub>90</sub> (+183 mL, <i>p</i> = 0.01) and between t<sub>110</sub> (+194 mL, <i>p</i> = 0.03) and t<sub>120</sub> (+186 mL, <i>p</i> < 0.01) when compared to t<sub>0</sub>. These results demonstrated that fluids with a higher content of osmotically active particles lead to acute hemodilution, which is associated with a decrease in [Hb] and Hct. These findings underpin the importance of the hydration state on PV and especially on PV constituent levels in healthy individuals.