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. 1979 Sep;190(3):305–311. doi: 10.1097/00000658-197909000-00005

Vasodilator effects of the sodium acetate in pooled protein fraction.

G N Olinger, P H Werner, L I Bonchek, L E Boerboom
PMCID: PMC1344658  PMID: 485604

Abstract

Paradoxical hypotension during rapid infusion of plasma protein fraction (PPF) has been attributed to vasodilation by bradykinin in PPF. This study employed a canine, controlled right heart bypass preparation to assess changes in systemic vascular resistance and venous capacitance during infusion of PPF and other possibly vasoactive mediators. Plasma protein fraction caused consistent vasodilation, whereas purified human albumin did not. This vasodilation could be ascribed entirely to acetate, present in PPF as a buffer. Bradykinin in PPF had no effect during venous infusion. Acetate is used widely as a buffer in intravenous and dialysate solutions. Its vasoactive properties must be recognized when such solutions are administered to patients with limited capacity to compensate for sudden vasodilation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aizawa Y., Ohmori T., Imai K., Nara Y., Matsuoka M., Hirasawa Y. Depressant action of acetate upon the human cardiovascular system. Clin Nephrol. 1977 Nov;8(5):477–480. [PubMed] [Google Scholar]
  2. Alving B. M., Hojima Y., Pisano J. J., Mason B. L., Buckingham R. E., Jr, Mozen M. M., Finlayson J. S. Hypotension associated with prekallikrein activator (Hageman-factor fragments) in plasma protein fraction. N Engl J Med. 1978 Jul 13;299(2):66–70. doi: 10.1056/NEJM197807132990203. [DOI] [PubMed] [Google Scholar]
  3. Bland J. H., Laver M. B., Lowenstein E. Vasodilator effect of commercial 5 per cent plasma protein fraction solutions. JAMA. 1973 Jun 25;224(13):1721–1724. [PubMed] [Google Scholar]
  4. Colman R. W., Girey G. J., Zacest R., Talamo R. C. The human plasma kallikrein-kinin system. Prog Hematol. 1971;7(0):255–298. [PubMed] [Google Scholar]
  5. Colman R. W. Paradoxical hypotension after volume expansion with plasma protein fraction. N Engl J Med. 1978 Jul 13;299(2):97–98. doi: 10.1056/NEJM197807132990211. [DOI] [PubMed] [Google Scholar]
  6. FROHLICH E. D. VASCULAR EFFECTS OF THE KREBS INTERMEDIATE METABOLITES. Am J Physiol. 1965 Jan;208:149–153. doi: 10.1152/ajplegacy.1965.208.1.149. [DOI] [PubMed] [Google Scholar]
  7. Graefe U., Milutinovich J., Follette W. C., Vizzo J. E., Babb A. L., Scribner B. H. Less dialysis-induced morbidity and vascular instability with bicarbonate in dialysate. Ann Intern Med. 1978 Mar;88(3):332–336. doi: 10.7326/0003-4819-88-3-332. [DOI] [PubMed] [Google Scholar]
  8. Harrison G. A., Robinson M., Stacey R. V., McCulloch C. H., Torda T. A., Wright J. S. Hypotensive effects of stable plasma protein solution (SPPS): a preliminary communication. Med J Aust. 1971 Nov 13;2(20):1040–1041. doi: 10.5694/j.1326-5377.1971.tb92692.x. [DOI] [PubMed] [Google Scholar]
  9. Isbister J. P., Biggs J. C. Reactions to rapid infusion of stable plasma protein solution during large volume plasma exchange. Anaesth Intensive Care. 1976 May;4(2):105–107. doi: 10.1177/0310057X7600400203. [DOI] [PubMed] [Google Scholar]
  10. Izaka K., Tsutsui E., Mima Y., Hasegawa E. A bradykinin-like substance in heat-treated human plasma protein solution. Transfusion. 1974 May-Jun;14(3):242–248. doi: 10.1111/j.1537-2995.1974.tb04524.x. [DOI] [PubMed] [Google Scholar]
  11. Kirkendol P. L., Robie N. W., Gonzalez F. M., Devia C. J. Cardiac and vascular effects of infused sodium acetate in dogs. Trans Am Soc Artif Intern Organs. 1978;24:714–718. [PubMed] [Google Scholar]
  12. MOLNAR J. I., SCOTT J. B., FROHLICH E. D., HADDY F. J. Local effects of various anions and H ions on dog limb and coronary vascular resistances. Am J Physiol. 1962 Jul;203:125–132. doi: 10.1152/ajplegacy.1962.203.1.125. [DOI] [PubMed] [Google Scholar]
  13. Novello A., Kelsch R. C., Easterling R. E. Acetate intolerance during hemodialysis. Clin Nephrol. 1976 Jan;5(1):29–32. [PubMed] [Google Scholar]
  14. Torda T. A., Harrison G. A., McCulloch C. H., Wright J. S., Stacey R., Robertson M. Circulatory effects of stable plasma protein solution (SPPS). Med J Aust. 1973 Apr 21;1(16):798–800. doi: 10.5694/j.1326-5377.1973.tb110695.x. [DOI] [PubMed] [Google Scholar]
  15. Werner P. H., Boerboom L. E., Bonchek L. I., Olinger G. N. Hemodynamic response to rapidly infused protein volume expanders. Surg Forum. 1978;29:34–35. [PubMed] [Google Scholar]

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