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Gunanti .
Departemen Klinik, Reproduksi Dan Patologi Fakultas Kedokteran Hewan Institut Pertanian Bogor, Bogor
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Journal : Medical Journal of Indonesia

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The effects of colloids or crystalloids on acute respiratory distress syndrome in swine (Sus scrofa) models with severe sepsis: analysis on extravascular lung water, IL-8, and VCAM-1 Dewi, Rismala; Supriyatno, Bambang; Madjid, Amir S.; Gunanti, Gunanti; Lubis, Munar
Medical Journal of Indonesia Vol 25, No 1 (2016): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.563 KB) | DOI: 10.13181/mji.v25i1.1204

Abstract

Background: Acute respiratory distress syndrome (ARDS) is a fatal complication of severe sepsis. Due to its higher molecular weight, the use of colloids in fluid resuscitation may be associated with fewer cases of ARDS compared to crystalloids. Extravascular lung water (EVLW) elevation and levels of interleukin-8 (IL-8) and vascular cell adhesion molecule-1 (VCAM-1) have been studied as indicators playing a role in the pathogenesis of ARDS. The aim of the study was to determine the effects of colloid or crystalloid on the incidence of ARDS, elevation of EVLW, and levels of IL-8 and VCAM-1, in swine models with severe sepsis.Methods: This was a randomized trial conducted at the Laboratory of Experimental Surgery, School of Veterinary Medicine, IPB, using 22 healthy swine models with a body weight of 8 to 12 kg. Subjects were randomly allocated to receive either colloid or crystalloid fluid resuscitation. After administration of endotoxin, clinical signs of ARDS, EVLW, IL-8, and VCAM-1 were monitored during sepsis, severe sepsis, and one- and three hours after fluid resuscitation. Analysis of data using the Wilcoxon test , Kolmogorov-Smirnov test, Mann-Whitney test, unpaired t test.Results: Mild ARDS was more prevalent in the colloid group, while moderate ARDS was more frequent in the crystalloid group. EVLW elevation was lower in the colloid compared to the crystalloid group. There was no significant difference in IL-8 and VCAM-1 levels between the two groups.Conclusion: The use of colloids in fluid resuscitation does not decrease the probability of ARDS events compared to crystalloids. Compared to crystalloids, colloids are associated with a lower increase in EVLWI, but not with IL-8 or VCAM-1 levels.
Co-Authors . Erwin Afidatunnisa, Kholis Afifa, Selma Afiqah Binti Abd Latif Agik Suprayogi Agus Hadi Santosa Wargadipura Agus Wijaya Ahmad Arif Amin Ainul Khadija Saleema Amelia Putri, Yusika Amin, Ahmad Arif Amir S. Madjid, Amir S. Angesti, Shavrillia Anhu Raja Anita Esfandiari Anita Rahmayanti Annisa Rofiqoh Syafikriatillah Annisa, Fadhilah Nur Annita Vury Nurjunitar Antonius H. Pudjiadi Ardi Sandriya Arni Fitri Bambang Pontjo Priosoeryanto Bambang Supriyatno Basrul Hanafi Beata LYL Ayu Bensa, Matilde Surtini Bermani, Fadeli budianto panjaitan Budianto Panjaitan Carina Khairunnisa D Ardiansyah D U Rahmiati Damiana Rita Ekastuti Deni Noviana Deny Setyo Wibowo Devi Paramitha Dina Zuhdina Rahman Dwi Endrawati Dwi Endrawati Dwi Gustiono Dwi Utari Rahmiati E Fitriana Ega Iftahul Rizky Ekowati Handharyani Elok Budi Retnani Elvira Adyaputri Erwin Erwin Erwin Erwin Erwin Erwin Eva Harlina Fadhilah Nur Annisa Febryanto, Agung Fitri, Arni Diana Galih Satria Kusumanto Harits Abdullah Munir Hastjarjo Fleuryantari Hayati, Najma Helny Rosita Supriadi Helny Rosita Supriadi Helny Rosita Supriadi Heryudianto Vibowo Himah Nuradilah I Gusti Agung Ngurah Arphan Eka Putra I Gusti Ngurah Sudisma IETJE WIENTARSIH Iman, Bintang Nurul Intan Khoirunnisa Irda Khaeriyah Irza Sukmana Irza Sukmana, Irza Jessica Anggun Safitri Khairunnisa, Carina Kholis Afidatunnisa Ki Agus Dahlan Kiagus Dahlan Kiagus Dahlan Kiagus Dahlan Laras Weningtyas Lijar Pastilah Lina Noviyanti Sutardi Liza Oktafani M. Fakhrul Ulum M.Luqman Hakim Martapuri Rani Wijaya Masaji Washio Maulana, M Ridha Melpa Susanti Purba Melpa Susanti Purba Mokhamad Fakhrul Ulum, Mokhamad Muhammad Abhi Purnomosidi Muhammad Fajrul Falah Muhammad Kamal Muhammad Redha Anshari Munar Lubis Murtiningrum, Fitria Senja Nabila Latifa Hafizsha Nadya Amanda Putri Najma Hayati Ni Rai Fertilini Hanira Jelantik Nindya Dwi Utami Nur Fitri Utami Nur Rahmi Nuzula Ramadian Peter Ian Limas Prastiwi, Nurul Anjar Rachmi Ridho Raden Roro Soesatyoratih Rahmi, Riska Asria Sa'adatur Rahul Ajie Saksena Ramadian, Nuzula Ravi, Sugganya Retno Wulansari Riana Nurul Maulani Riki Siswandi Riski Rostantinata Rismala Dewi Safitri, Jessica Anggun Sardimi, Sardimi Selma Afifa Selma Laily Nur Afifa Selma Laily Nur Afifah Septi Nurcholida Sari Shavrillia Angesti Shavrillia Inovanny Angesti Shayrilia Ivanovanny Angesti Sitaria Siallagan Siti Zaenab Siti Zaenab Sri Rezeki Srihadi Agungpriyono Subangkit, Mawar Sugganya Ravi Suparmin, Yuliani Surawan, Surawan Sus Derthi Widhyari Sus Derthi Widyari Syafikriatillah, Annisa Rofiqoh TATI NURHAYATI Tri Isyani Tungga Dewi Tytha Nadhifa Winarto Ulum, M. Fakhrul Viyata Pratiwi Risky Yuliani Suparmin Zultinur Muttaqin