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investigación básica
Abstract
Background: It is very important to know the volumetric relation between the cellular contraction
and the concentration of saline solution (NaCl) used in clinical practice.
Methods: Blood samples of healthy volunteers were exposed to different concentrations of NaCl
ranging from 0.42% to 11.70% and the resultant variation in the hematocrit was observed. The
variation of the cellular volume as a function of the corresponding concentration of NaCl was stu-
died. An equation theoretically predicting the observed behavior was obtained.
Results: We studied 53 blood samples of 12 healthy volunteers. The relationship between cellular
contraction and the concentration of NaCl shows that the maximum contraction of cellular volume
is obtained when NaCl is about 5.85%. The mathematical model derived is summarized in the
1
equation. ∆V = ∆V means the cellular variation to the corresponding NaCl concentration. This
4
C
model has a linear regression coefficient of 0.996 and applying chi-square goodness of fit test is
observed a level of confidence superior to 99.5%. It was also noted that concentrations equal to or
higher than 7.02% of NaCl provokes some degree of hemolysis.
Conclusions: There is no reason to use concentrations of NaCl higher than 5.85%. Higher concen-
trations do not induce more contraction of cellular volume, but they do provoke cellular damage.
Key words: Cell volume, saline solution, hemolysis, blood cells (Source: MeSH, NLM).
Resumen
Introducción: Dentro de las prácticas clínicas, es de suma importancia conocer la relación volumétrica
entre la contracción celular y la concentración de solución salina (NaCl).
Métodos: Muestras de sangre por parte de voluntarios que gozan de buena salud fueron expuestas a
diferentes concentraciones de NaCl, las cuales oscilan entre 0.42% a 11.70%, observándose la variación
resultante en el hematocrito. Se estudió la variación del volumen celular como función de la correspondien-
te concentración de NaCl. Se llegó a establecer una ecuación que predice teóricamente el comportamiento
observado.
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Cell volume variation under different concentrations of saline solution - García, J.M., Ardila A.M.
Rev. Col. Anest. Mayo-Julio 2009. Vol. 37- No. 2: 101-109
102
Cell volume variation under different concentrations of saline solution - García, J.M., Ardila A.M.
Rev. Col. Anest. Mayo-Julio 2009. Vol. 37- No. 2: 101-109
Chart 1.
Hematocrit/(Basal/2) ratio for some NaCl concentrations
Hematocrit/(Basal/2)
NaCl 0,41% 0,59% 0,77% 1,17% 2,34% 4,68% 7,02% 9,36% 11,70%
1 1,290 1,158 1,087 0,944 0,749 0,658 0,707 0,764 0,764
2 1,275 1,161 1,075 0,957 0,755 0,647 0,654 0,754 0,744
3 1,310 1,203 1,116 0,989 0,798 0,666 0,673 0,780 0,742
4 1,329 1,216 1,135 0,978 0,807 0,667 0,650 0,749 0,739
5 1,295 1,192 1,107 0,968 0,781 0,652 0,650 0,711 0,634
Mean 1,300 1,186 1,104 0,967 0,778 0,658 0,667 0,752 0,725
∆(Uncertainty) 0,043 0,053 0,049 0,036 0,054 0,019 0,051 0,053 0,107
103
Cell volume variation under different concentrations of saline solution - García, J.M., Ardila A.M.
Rev. Col. Anest. Mayo-Julio 2009. Vol. 37- No. 2: 101-109
104
Cell volume variation under different concentrations of saline solution - García, J.M., Ardila A.M.
Rev. Col. Anest. Mayo-Julio 2009. Vol. 37- No. 2: 101-109
105
Cell volume variation under different concentrations of saline solution - García, J.M., Ardila A.M.