Lichtenberger M, Orcutt C, Cray C, Thamm DH, Debehnke D, Page C, Mull L, Kirby R
Comparison of fluid types for resuscitation after acute blood loss in mallard ducks (Anas platyrhynchos). [Journal Article]
J Vet Emerg Crit Care (San Antonio) 2009 Oct; 19(5):467-72.
Objective- The purpose of this study was to determine the LD(50) for acute blood loss in mallard ducks (Anas platyrhynchos), compare the mortality rate among 3 fluid resuscitation groups, and determine the time required for a regenerative RBC response. Design- Prospective study. Setting- Medical College of Wisconsin Research facility. Animals- Eighteen mallard ducks were included for the LD(50) study and 28 for the fluid resuscitation study. Interventions- Phlebotomy was performed during both the LD(50) and fluid resuscitation studies. Ducks in the fluid resuscitation study received a 5 mL/kg intravenous bolus of crystalloids, hetastarch (HES), or a hemoglobin-based oxygen-carrying solution (HBOCS). Measurements and Main Results- The LD(50) for acute blood loss was 60% of total blood volume. This blood volume was removed in the fluid resuscitation study to create a model of acute blood loss. Following fluid administration, 6 birds in the crystalloid group (66%), 4 birds in the HES group (40%), and 2 birds in the HBOCS group (20%) died. No statistical difference in mortality rate was seen among the 3 fluid resuscitation groups. Relative polychromasia evaluated post-phlebotomy demonstrated regeneration starting at 24 hours and continuing through 48 hours. Conclusions- The LD(50) for acute blood loss in mallard ducks was 60% of their total blood volume. Although no statistical difference in mortality rate was appreciated among the 3 fluid resuscitation groups, a trend of decreased mortality rate was observed in the HBOCS group. An early regenerative response was apparent following acute blood loss.
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