학술논문

Hypertonic sodium lactate improves microcirculation, cardiac function, and inflammation in a rat model of sepsis
Document Type
article
Source
Critical Care, Vol 24, Iss 1, Pp 1-11 (2020)
Subject
Sodium lactate
Sepsis
Metabolism
Microcirculation
Heart failure
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Language
English
ISSN
1364-8535
Abstract
Abstract Background Hypertonic sodium lactate (HSL) may be of interest during inflammation. We aimed to evaluate its effects during experimental sepsis in rats (cecal ligation and puncture (CLP)). Methods Three groups were analyzed (n = 10/group): sham, CLP-NaCl 0.9%, and CLP-HSL (2.5 mL/kg/h of fluids for 18 h after CLP). Mesenteric microcirculation, echocardiography, cytokines, and biochemical parameters were evaluated. Two additional experiments were performed for capillary leakage (Evans blue, n = 5/group) and cardiac hemodynamics (n = 7/group). Results HSL improved mesenteric microcirculation (CLP-HSL 736 [407–879] vs. CLP-NaCl 241 [209–391] UI/pixel, p = 0.0006), cardiac output (0.34 [0.28–0.43] vs. 0.14 [0.10–0.18] mL/min/g, p