Normal Saline Versus Plasmalyte in Initial Resuscitation of Trauma Patients
| Status: | Completed |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 10/21/2012 |
| Start Date: | January 2011 |
| End Date: | July 2011 |
| Contact: | Garth H. Utter, MD MSc |
| Email: | garth.utter@ucdmc.ucdavis.edu |
| Phone: | 916-734-1768 |
The purpose of this study is to determine whether an intravenous salt solution called
"Plasmalyte" causes less abnormality of the body's acid levels than a solution called
"Normal Saline."
Electrolyte-containing intravenous fluids are routinely administered to patients in the
first few hours after acute traumatic injury. Although Normal Saline (0.9% sodium chloride)
is commonly used in this setting, it causes a hyperchloremic acidosis that may exacerbate
metabolic derangements that occur after acute injury. Plasmalyte A is a solution that more
closely matches physiologic electrolyte levels. In this study, we will evaluate whether
Plasmalyte A results in less disturbance of the base deficit 24 hours following traumatic
injury than does Normal Saline.
Inclusion Criteria:
- Triaged upon arrival to the hospital as severely injured
- At least 18 years of age
- Meets at least one of the following criteria:
1. Intubated or likely to become intubated within 60 minutes of arrival at the
hospital
2. Likely to need an operation within 60 minutes of arrival
3. Received or likely to receive a blood transfusion within 60 minutes of arrival
Exclusion Criteria:
- Greater than 60 minutes since arrival at the hospital
- Death likely within 48 hours
- Transfer from another hospital
- Pre-existing renal failure requiring dialysis
- Pregnancy
- Prisoner status
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