Effects of Rapid and Ultra-Rapid Fluid Resuscitation Guided by Blood Lactate Clearance Rate in Diarrheic Calves

PDF (English)
DOI : https://doi.org/10.12681/jhvms.20349
H. ERDOGAN
Department of Internal Medicine, Faculty of Veterinary Medicine, University of Adnan Menderes, Aydin, Turkey
H. VOYVODA
Department of Internal Medicine, Faculty of Veterinary Medicine, University of Adnan Menderes, Aydin, Turkey
Résumé

The assessment of the results of intravenous fluid treatment in diarrheal calves is difficult under field conditions. To determine the effects of ultra-rapid (1 h) and rapid (3 h) intravenous infusions with 0.9% NaCl and 1.3% NaHCO3 solutions at a dose of 60 ml/kg on lactate clearance (LC) in calves with diarrhea. Sixty calves, including a healthy control group (n=20) and a group of calves with diarrhea (n=40), were used. Diarrheic calves were divided into two groups (n=20) according to solution type, and each group was then divided into two equal subgroups according to the infusion rate (n=10). Clinical and laboratory inspections of diarrheic calves were performed pre- and post-infusion, and the healthy control group was examined once. LC rates were calculated in the 1 h and 3 h subgroups. Marked improvements in clinical findings related to dehydration were observed in all groups with neonatal diarrhea that were given intravenous infusions with 0.9% NaCl and 1.3% NaHCO3 solutions. End of the infusion, the LC of the 0.9% NaCl and 1.3% NaHCO3 solutions in the ultra-rapid groups was significantly increased by 36.4% and 31.8%, respectively. However, for rapid infusion of the same solutions, 13.6% and 31.8% increases were observed, but the differences were not significant. Under field conditions, the LC of L- and D-lactate varied with the infusion rate, and these variations were significant in ultra-rapid subgroups for both solutions. Further studies will be designed for fluid therapy in calves based on the calculation of LC.

Article Details
  • Rubrique
  • Research Articles
Creative Commons License

Ce travail est disponible sous licence Creative Commons Attribution - Pas d’Utilisation Commerciale 4.0 International.

Authors who publish with this journal agree to the following terms:

· Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution Non-Commercial License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

· Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g. post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

· Authors are permitted and encouraged to post their work online (preferably in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

Téléchargements
Les données relatives au téléchargement ne sont pas encore disponibles.
Références
Abeysekara S, Naylor JM, Wassef AWA, Isak U, Zello GA (2007) D-Lactic acid-induced neurotoxicity in a calf model. Am J Physiol 293:558–65.
Abeysekara S, Zello GA, Lohmann KL, Alcorn J, Hamilton DL, Naylor JM (2012) Infusion of sodium bicarbonate in experimentally induced metabolic acidosis does not provoke cerebrospinal fluid (CSF) acidosis in calves. Can J Vet Res 76: 16-22.
Allen SE, Holm JL (2008) Lactate: Physiology and clinical utility. J Vet Emerg Crit Care 18:123-132.
Başoğlu A, Sen I, Sevinç M, Simsek A (2004) Serum concent¬rations of tumor necrosis factor-alpha in neonatal calves with presumed septicemia. J Vet Intern Med 18:238-241.
Berchtold J 1999. Intravenous fluid therapy for calves. Vet Clin North Am Food Anim Pract, 15:505-531.
Coghe J, Uystepruyst CH, Bureau F, Detilleux J, Art T, Lekeux P (2000) Validation and prognostic value of plasma lactate measurement in bovine respiratory disease. Vet J 160: 139-146.
Constable PD (2003) Fluid and electrolyte therapy in ruminants. Vet Clin North Am Food Anim Pract 19:557–97.
De Papp E, Drobatz KJ, HugheS D (1999) Plasma lactate concentration as a good predictor of gastric necrosis and survival among dogs with gastric dilatation-volvulus: 102 cases (1995–1998). J Am Vet Med Assoc 215:49–52.
De Backer D, Creteur J, Dubois MJ, Sakr Y, Koch M, Verdant C, Vincent JL (2006) The effects of dobutamine on microcirculatory alterations in patients with septic shock are independent of its systemic effects. Crit Care Med 34:403-408.
Dekker SE, de Vries HM, Lubbers WD, van de Ven PM, Toor EJ, Bloemers FW, Boer C (2017) Lactate clearance metrics are not superior to initial lactate in predicting mortality in trauma. Eur J Trauma Emerg Surg 43:1-11.
Donawick WJ, Ramberg CF, Paul SR, Hiza MA (1975) The diagnostic and prognostic value of lactate determinations in horses with acute abdominal cri- sis. J S Afr Vet Assoc 4: 22-25.
Ewaschuk JB, Naylor JM, Zello GA (2003) Anion gap correlates with serum D- and DL- lactate concentration in diarrheic neonatal calves. J Vet Intern Med 17: 940-942.
Ewaschuk JB, Naylor JM, Zello GA (2005) D-lactate in human and ruminant metabolism. J Nutr 135: 1619-1625.
Figueiredo MD, Nydam DV, Perkins GA, Mitchell HM, Divers TJ (2006) Prognostic value of plasma L-lactate concentration measured cow-side with a portable clinical analyzer in Holstein dairy cattle with abomasal disorders. J Vet Intern Med 20:1463-1470.
Genn HJ, Hertsch B (1982). Die diagnostische und prognos-tische Bedeutung des Laktatwertes im Blut sowie in der Bauchhöhlenflüssigkeit bei der Kolik des Pferdes. Dtsch Tierarztl Wochenschr 89:295–299.
Ghneim MH, Regner JL, Jupiter DC, Kang F, Bonner GL, Bready MS, Davis ML (2013) Goal directed fluid resuscitation decreases time for lactate clearance and facilitates early fascial closure in damage control surgery. Am J Surg 206: 995-1000.
Gomez H, Kellum JA (2015) Lactate in sepsis. Jama, 313(2):194-195.
Grove-White D (2007) Practical intravenous fluid therapy in the diarrhoeic calf. In Pract 29:404–8.
James MFM, Michell WL, Joubert IA, Nicol AJ, Navsaria PH, Gillespie RS (2011) Resuscitation with hydroxyethyl starch improves renal function and lactate clearance in penetrating trauma in a randomized controlled study: the FIRST trial (Fluids in Resuscitation of Severe Trauma). Br J Anaesth 107: 693-702.
Jones AE, Shapiro NI, Trzeciak S, Arnold RC, Claremont HA, Kline JA (2010) Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy, JAMA (303):739–746.
Kamolz LP, Andel H, Schramm W, Meissl G, Herndon DN, Frey M (2005) Lactate: early predictor of morbidity and mortality in patients with severe burns. Burns 31:986–990.
Karagiannis MH, Reniker AN, Kerl ME, Mann FA (2006) Lactate measurement as an indicator of perfusion. Compend Contin Educ Vet 28:287–300.
Kasari TR (1990) Metabolic acidosis in diarrheic calves: alkalinizing agents in therapy. Vet Clin North Am Food Anim Pract 6:29-43.
Kasari TR, Naylor JM (1985). Clinical evaluation of sodium bicarbonate, sodium L–lactate, and sodium acetate for the treatment of acidosis in diarrheic calves. J Am Vet Med Assoc 187:392-397.
Kaske M (1994). Pathophysiologische Aspekte der neonatalen Kälberdiarrhoe. Tierärztl Umsc 49:336–348.
Lee SM, An WS (2016). New clinical criteria for septic shock: serum lactate level as new emerging vital sign. J Thorac Dis 8:1388.
Lorenz I (2004) Influence of D-lactate on metabolic acidosis and on prognosis in neonatal calves with diarrhoea. J Vet Med A Physiol Pathol Clin Med 51:425–428.
Lorenz I (2009) An update on calf diarrhoea. Part I: Pathophysiology and treatment. Ir Vet J 62:58-61.
Lorenz I, Gentile A (2014) D-lactic acidosis in neonatal ruminants. Vet Clin Food Anim Pract 30:317-331.
Lyu X, Xu Q, Cai G, Yan J, Yan M (2015) Efficacies of fluid resuscitation as guided by lactate clearance rate and central venous oxygen saturation in patients with septic shock. Zhonghua yi xue za zhi 95:496-500.
Moore JN, Owen RR, Lumsden JH (1976) Clinical evaluation of blood lactate levels in equine colic. Equine Vet J 8:49–54.
Müller KR, Gentile A, Klee W, Constable PD (2012) Importance of the effective strong ion difference of an intravenous solution in the treatment of diarrheic calves with naturally acquired acidemia and strong ion (metabolic) acidosis. Vet Intern Med 26:674-683.
Nager AL, Wang VJ (2010) Comparison of ultrarapid and rapid intravenous hydration in pediatric patients with dehydration. Am J Emerg Med 28:123-129.
Nakagawa M, Suzuki K, Taguchi K (2007) Relationship between depression score and acid-base status in Japanese Black calves with diarrhea. J Vet Med Sci 69:549–552.
Naylor JM (1989) A retrospective study of the relationship between clinical signs and severity of acidosis in diarrheic calves. Can Vet J 30:577–580.
Nguyen HB, Rivers EP, Knoblich BP, Jacobsen G, Muzzin A, Ressler JA, Tomlanovich MC (2004) Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit Care Med 32:1637-1642.
Nguyen HB, Loomba M, Yang JJ, Jacobsen G, Shah K, Otero RM, Rivers EP (2010) Early lactate clearance is associated with biomarkers of inflammation, coagulation, apoptosis, organ dysfunction and mortality in severe sepsis and septic shock, J Inflamm 7:6–17.
Omole OO, Nappert G, Naylor JM, Zello GA (2001) Both L- and D-Lactate contribute to metabolic acidosis in diarrheic calves J Nutr 131:2128-2131.
Roussel AJ, Kasari TR (1990) Using fluid and electrolyte replacement therapy to help diarrheic calves. Vet Met Sci 85:303–304.
Sen I, Constable PD (2013) General overview to treatment of strong ion (metabolic) acidosis in neonatal calves with diarrhea. Eurasian J Vet Sci 29:14-120.
Sharkey LC, Wellman ML (2015) Use of lactate in small animal clinical practice. Clin Lab Med 35:567-577.
Smith GW (2009) Treatment of calf diarrhea: oral fluid therapy. Vet Clin North Am Food Anim Pract 25:55-72.
Tennent-Brown BS, Wilkins PA, Lindborg S, Russell G, Boston RC (2010). Sequential plasma lactate concentrations as prognostic indicators in adult equine emergencies. J Vet Intern Med 24:198-205.
Trefz F, Lorch M, Feist A, Sauter-Louis C, Lorenz I. (2012) Metabolic acidosis in neonatal calf diarrhea—clinical findings and theoretical assessment of a simple treatment protocol. J Vet Intern Med 26:162-170.
Vincent JL, Dufaye P, Berre J, Leeman M, Degaute JP, Kahn RJ (1983) Serial lactate determinations during circulatory shock. Crit Care Med 11:449–451.
Yu B, Tian HY, Hu ZJ, Zhao C, Liu LX, Zhang Y, Li J (2013) Comparison of the effect of fluid resuscitation as guided either by lactate clearance rate or by central venous oxygen saturation in patients with sepsis. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 25:578-583.
Zacher LA, Berg J, Shaw SP, Kudej RK (2010) Association between outcome and changes in plasma lactate concentration during presurgical treatment in dogs with gastric dilatation- volvulus: 64 cases (2002 –2008). J Am Vet Med Assoc 236:892-897.
Zello GA, Janzen A, Abeysekara S, Hamilton D, Naylor JM, Lohmann KL (2008) Urinary excretion of both D-and L-lactate using a calf-infusion model. The FASEB Journal 22:1205.