Skip to main content
Top
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 3/2012

01-03-2012 | Reports of Original Investigations

The viscous behaviour of HES 130/0.4 (Voluven®) and HES 260/0.45 (Pentaspan®)

Authors: Andrew M. Walker, MGIS, Kogan Lee, BSc, Gary M. Dobson, MD, Clifton R. Johnston, PhD

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 3/2012

Login to get access

Abstract

Purpose

Several fluids are available for volume therapy to address hypovolemia. We focus on two hydroxyethyl starches (HES) available for volume expansion in Canada, HES 130/0.4 (Voluven®) and HES 260/0.45 (Pentaspan®). Although information is available regarding their pharmacokinetic and risk/benefit profiles, this paper examines their viscous properties.

Methods

Dynamic viscosities of HES 130/0.4 and HES 260/0.45 were measured through capillary viscometry at 21°C and 37°C. The viscosities of the solutions were then measured through a closed flow loop at room temperature across physiologically relevant flow rates that maintained a laminar flow regime.

Results

Measured dynamic viscosity through capillary viscometry for HES 130/0.4 and HES 260/0.45 was 2.76 centipoises (cP) and 7.62 cP, respectively, at 21°C decreasing to 1.74 cP and 4.25 cP, respectively, at 37°C. Pipe flow analysis found that HES 130/0.4 (expiry 02/13) and HES 260/0.45 (expiry 10/10) displayed marginal variation in viscosity suggesting Newtonian behaviour. However, a sample of HES 130/0.4 (expiry 10/10) displayed an appreciable increase in viscosity (13%) at higher flow rates suggesting shear thickening behaviour.

Conclusion

This study represents an innovative characterization of not only the viscosity of two commonly utilized HES solutions but also their viscous behaviour across physiologically relevant flow rates. The shear thickening behaviour of a sample of HES 130/0.40 (expiry 10/10) at high flow rates was not expected, and the effect this result may have on endothelial cell function is unknown.
Footnotes
1
B Braun Medical. Gelofusine. Iso-oncotic gelatin solution for intravenous volume substitution. B Braun Melsungen AG, Melsungen, Germany, 2002.
 
Literature
1.
go back to reference Verheij J, van Lingen A, Beishuizen A, et al. Cardiac response is greater for colloid than saline fluid loading after cardiac or vascular surgery. Intensive Care Med 2006; 32: 1030-8.PubMedCrossRef Verheij J, van Lingen A, Beishuizen A, et al. Cardiac response is greater for colloid than saline fluid loading after cardiac or vascular surgery. Intensive Care Med 2006; 32: 1030-8.PubMedCrossRef
2.
go back to reference Vincent JL, Gerlach H. Fluid resuscitation in severe sepsis and septic shock: an evidence-based review. Crit Care Med 2004; 32: S451-4.PubMedCrossRef Vincent JL, Gerlach H. Fluid resuscitation in severe sepsis and septic shock: an evidence-based review. Crit Care Med 2004; 32: S451-4.PubMedCrossRef
3.
go back to reference Dubniks M, Persson J, Grande PO. Plasma volume expansion of 5% albumin, 4% gelatin, 6% HES 130/0.4, and normal saline under increased microvascular permeability in the rat. Intensive Care Med 2007; 33: 293-9.PubMedCrossRef Dubniks M, Persson J, Grande PO. Plasma volume expansion of 5% albumin, 4% gelatin, 6% HES 130/0.4, and normal saline under increased microvascular permeability in the rat. Intensive Care Med 2007; 33: 293-9.PubMedCrossRef
4.
go back to reference Haljamae H, Dahlqvist M, Walentin F. 3 Artificial colloids in clinical practice: pros and cons. Baillières Clin Anaesthesiol 1997; 11: 49-79.CrossRef Haljamae H, Dahlqvist M, Walentin F. 3 Artificial colloids in clinical practice: pros and cons. Baillières Clin Anaesthesiol 1997; 11: 49-79.CrossRef
5.
go back to reference Traylor RJ, Pearl RG. Crystalloid versus colloid versus colloid: all colloids are not created equal. Anesth Analg 1996; 83: 209-12.PubMed Traylor RJ, Pearl RG. Crystalloid versus colloid versus colloid: all colloids are not created equal. Anesth Analg 1996; 83: 209-12.PubMed
6.
go back to reference Westphal M, James MF, Kozek-Langenecker S, Stocker R, Guidet B, Van Aken H. Hydroxyethyl starches different products – different effects. Anesthesiology 2009; 111: 187-202.PubMedCrossRef Westphal M, James MF, Kozek-Langenecker S, Stocker R, Guidet B, Van Aken H. Hydroxyethyl starches different products – different effects. Anesthesiology 2009; 111: 187-202.PubMedCrossRef
7.
go back to reference Villela NR, Salazar Vazquez BY, Intaglietta M. Microcirculatory effects of intravenous fluids in critical illness: plasma expansion beyond crystalloids and colloids. Curr Opin Anaesthesiol 2009; 22: 163-7.PubMedCrossRef Villela NR, Salazar Vazquez BY, Intaglietta M. Microcirculatory effects of intravenous fluids in critical illness: plasma expansion beyond crystalloids and colloids. Curr Opin Anaesthesiol 2009; 22: 163-7.PubMedCrossRef
8.
go back to reference Woessner R, Grauer MT, Dieterich HJ, et al. Influence of a long-term, high-dose volume therapy with 6% hydroxyethyl starch 130/0.4 or crystalloid solution on hemodynamics, rheology and hemostasis in patients with acute ischemic stroke. Results of a randomized, placebo-controlled, double-blind study. Pathophysiol Haemost Thromb 2003; 33: 121-6.PubMedCrossRef Woessner R, Grauer MT, Dieterich HJ, et al. Influence of a long-term, high-dose volume therapy with 6% hydroxyethyl starch 130/0.4 or crystalloid solution on hemodynamics, rheology and hemostasis in patients with acute ischemic stroke. Results of a randomized, placebo-controlled, double-blind study. Pathophysiol Haemost Thromb 2003; 33: 121-6.PubMedCrossRef
9.
go back to reference Jungheinrich C, Neff TA. Pharmokinetics of hydroxyethyl starch. Clin Pharmacokinet 2005; 44: 681-99.PubMedCrossRef Jungheinrich C, Neff TA. Pharmokinetics of hydroxyethyl starch. Clin Pharmacokinet 2005; 44: 681-99.PubMedCrossRef
10.
go back to reference Treib J, Baron JF, Grauer MT, Strauss RG. An international view of hydroxyethyl starches. Intensive Care Med 1999; 25: 258-68.PubMedCrossRef Treib J, Baron JF, Grauer MT, Strauss RG. An international view of hydroxyethyl starches. Intensive Care Med 1999; 25: 258-68.PubMedCrossRef
11.
go back to reference Salazar Vazquez BY, Martini J, Chavez Negrete A, Cabrales P, Tsai AG, Intaglietta M. Microvascular benefits of increasing plasma viscosity and maintaining blood viscosity: counterintuitive experimental findings. Biorheology 2009; 46: 167-79.PubMed Salazar Vazquez BY, Martini J, Chavez Negrete A, Cabrales P, Tsai AG, Intaglietta M. Microvascular benefits of increasing plasma viscosity and maintaining blood viscosity: counterintuitive experimental findings. Biorheology 2009; 46: 167-79.PubMed
12.
go back to reference Martini J, Cabrales P, Tsai AG, Intaglietta M. Mechanotransduction and the homeostatic significance of maintaining blood viscosity in hypotension, hypertension and haemorrhage. J Intern Med 2006; 259: 364-72.PubMedCrossRef Martini J, Cabrales P, Tsai AG, Intaglietta M. Mechanotransduction and the homeostatic significance of maintaining blood viscosity in hypotension, hypertension and haemorrhage. J Intern Med 2006; 259: 364-72.PubMedCrossRef
13.
go back to reference Topper JN, Gimbrone MA Jr. Blood flow and vascular gene expression: fluid shear stress as a modulator of endothelial phenotype. Mol Med Today 1999; 5: 40-6.PubMedCrossRef Topper JN, Gimbrone MA Jr. Blood flow and vascular gene expression: fluid shear stress as a modulator of endothelial phenotype. Mol Med Today 1999; 5: 40-6.PubMedCrossRef
14.
go back to reference Shaaban AM, Duerinckx AJ. Wall shear stress and early atherosclerosis: a review. AJR Am J Roentgenol 2000; 174: 1657-66.PubMed Shaaban AM, Duerinckx AJ. Wall shear stress and early atherosclerosis: a review. AJR Am J Roentgenol 2000; 174: 1657-66.PubMed
15.
go back to reference Cabrales P, Tsai AG, Intaglietta M. Hyperosmotic-hyperoncotic versus hyperosmotic-hyperviscous: small volume resuscitation in hemorrhagic shock. Shock 2004; 22: 431-7.PubMedCrossRef Cabrales P, Tsai AG, Intaglietta M. Hyperosmotic-hyperoncotic versus hyperosmotic-hyperviscous: small volume resuscitation in hemorrhagic shock. Shock 2004; 22: 431-7.PubMedCrossRef
16.
go back to reference Salazar Vazquez BY, Cabrales P, Intaglietta M. The beneficial effects of increasing blood viscosity. In: Vincent JL, editor. Yearbook of Intensive Care and Emergency Medicine 2008. : Springer; 2008. p. 691-700. Salazar Vazquez BY, Cabrales P, Intaglietta M. The beneficial effects of increasing blood viscosity. In: Vincent JL, editor. Yearbook of Intensive Care and Emergency Medicine 2008. : Springer; 2008. p. 691-700.
17.
go back to reference Cunningham KS, Gotlieb AI. The role of shear stress in the pathogenesis of atherosclerosis. Lab Invest 2005; 85: 9-23.PubMedCrossRef Cunningham KS, Gotlieb AI. The role of shear stress in the pathogenesis of atherosclerosis. Lab Invest 2005; 85: 9-23.PubMedCrossRef
18.
go back to reference Malek AM, Alper SL, Izumo S. Hemodynamic shear stress and its role in atherosclerosis. JAMA 1999; 282: 2035-42.PubMedCrossRef Malek AM, Alper SL, Izumo S. Hemodynamic shear stress and its role in atherosclerosis. JAMA 1999; 282: 2035-42.PubMedCrossRef
19.
go back to reference Reneman RS, Arts T, Hoeks AP. Wall shear stress – an important determinant of endothelial cell function and structure–in the arterial system in vivo. Discrepancies with theory. J Vasc Res 2006; 43: 251-69.PubMedCrossRef Reneman RS, Arts T, Hoeks AP. Wall shear stress – an important determinant of endothelial cell function and structure–in the arterial system in vivo. Discrepancies with theory. J Vasc Res 2006; 43: 251-69.PubMedCrossRef
20.
go back to reference Mitchell GF, Parise H, Vita JA, et al. Local shear stress and brachial artery flow-mediated dilation. The Framingham heart study. Hypertension 2004; 44: 134-9.PubMedCrossRef Mitchell GF, Parise H, Vita JA, et al. Local shear stress and brachial artery flow-mediated dilation. The Framingham heart study. Hypertension 2004; 44: 134-9.PubMedCrossRef
21.
go back to reference London MJ, Ho JS, Triedman JK, et al. A randomized clinical trial of 10% pentastarch (low molecular weight hydroxyethyl starch) versus 5% albumin for plasma volume expansion after cardiac operations. J Thorac Cardiovasc Surg 1989; 97: 785-97.PubMed London MJ, Ho JS, Triedman JK, et al. A randomized clinical trial of 10% pentastarch (low molecular weight hydroxyethyl starch) versus 5% albumin for plasma volume expansion after cardiac operations. J Thorac Cardiovasc Surg 1989; 97: 785-97.PubMed
22.
go back to reference Dammers R, Stifft F, Tordoir JH, Hameleers JM, Hoeks AP, Kitslaar PJ. Shear stress depends on vascular territory: comparison between common carotid and brachial artery. J Appl Physiol 2003; 94: 485-9.PubMed Dammers R, Stifft F, Tordoir JH, Hameleers JM, Hoeks AP, Kitslaar PJ. Shear stress depends on vascular territory: comparison between common carotid and brachial artery. J Appl Physiol 2003; 94: 485-9.PubMed
23.
go back to reference Simon AC, Levenson J, Flaud P. Pulsatile flow and oscillating wall shear stress in the brachial artery of normotensive and hypertensive subjects. Cardiovasc Res 1990; 24: 129-36.PubMedCrossRef Simon AC, Levenson J, Flaud P. Pulsatile flow and oscillating wall shear stress in the brachial artery of normotensive and hypertensive subjects. Cardiovasc Res 1990; 24: 129-36.PubMedCrossRef
24.
go back to reference Rosenhek R, Binder T, Porenta G, et al. Predictors of outcome in severe, asymptomatic aortic stenosis. N Engl J Med 2000; 343: 611-7.PubMedCrossRef Rosenhek R, Binder T, Porenta G, et al. Predictors of outcome in severe, asymptomatic aortic stenosis. N Engl J Med 2000; 343: 611-7.PubMedCrossRef
25.
go back to reference Gisvold SE, Brubakk AO. Measurement of instantaneous blood-flow velocity in the human aorta using pulse Doppler ultrasound. Cardiovasc Res 1982; 16: 26-33.PubMedCrossRef Gisvold SE, Brubakk AO. Measurement of instantaneous blood-flow velocity in the human aorta using pulse Doppler ultrasound. Cardiovasc Res 1982; 16: 26-33.PubMedCrossRef
26.
go back to reference Kilner PJ, Manzara CC, Mohiaddin RH, et al. Magnetic resonance jet velocity mapping in mitral and aortic valve stenosis. Circulation 1993; 87: 1239-48.PubMed Kilner PJ, Manzara CC, Mohiaddin RH, et al. Magnetic resonance jet velocity mapping in mitral and aortic valve stenosis. Circulation 1993; 87: 1239-48.PubMed
27.
go back to reference Degremont AC, Ismail M, Arthaud M, et al. Mechanisms of postoperative prolonged volume expansion with low molecular weight hydroxyethyl starch (HES 200/0.62, 6%). Intensive Care Med 1995; 21: 577-83.PubMedCrossRef Degremont AC, Ismail M, Arthaud M, et al. Mechanisms of postoperative prolonged volume expansion with low molecular weight hydroxyethyl starch (HES 200/0.62, 6%). Intensive Care Med 1995; 21: 577-83.PubMedCrossRef
28.
go back to reference Monkos K. On the hydrodynamics and temperature dependence of the solution conformation of human serum albumin from viscometry approach. Biochim Biophys Acta 2004; 1700: 27-34.PubMed Monkos K. On the hydrodynamics and temperature dependence of the solution conformation of human serum albumin from viscometry approach. Biochim Biophys Acta 2004; 1700: 27-34.PubMed
29.
go back to reference Kroemer H, Haass A, Müller K, et al. Haemodilution therapy in ischaemic stroke: plasma concentrations and plasma viscosity during long-term infusion of dextran 40 or hydroxyethyl starch 200/0.5. Eur J Clin Pharmacol 1987; 31: 705-10.PubMedCrossRef Kroemer H, Haass A, Müller K, et al. Haemodilution therapy in ischaemic stroke: plasma concentrations and plasma viscosity during long-term infusion of dextran 40 or hydroxyethyl starch 200/0.5. Eur J Clin Pharmacol 1987; 31: 705-10.PubMedCrossRef
31.
go back to reference Cabrales P, Tsai AG, Intaglietta M. Is resuscitation from hemorrhagic shock limited by blood oxygen-carrying capacity of blood viscosity? Shock 2007; 27: 380-9.PubMedCrossRef Cabrales P, Tsai AG, Intaglietta M. Is resuscitation from hemorrhagic shock limited by blood oxygen-carrying capacity of blood viscosity? Shock 2007; 27: 380-9.PubMedCrossRef
33.
go back to reference Stoneham MD. An evaluation of methods of increasing the flow rate of i.v. fluid administration. Br J Anaesth 1995; 75: 361-5.PubMed Stoneham MD. An evaluation of methods of increasing the flow rate of i.v. fluid administration. Br J Anaesth 1995; 75: 361-5.PubMed
34.
go back to reference Cano-Ruiz ME, Richter RL. Changes in physicochemical properties of retort-sterilized dairy beverages during storage. J Dairy Sci 1998; 81: 2116-23.PubMedCrossRef Cano-Ruiz ME, Richter RL. Changes in physicochemical properties of retort-sterilized dairy beverages during storage. J Dairy Sci 1998; 81: 2116-23.PubMedCrossRef
35.
go back to reference Severa L, Nedomova S, Buchar J. Influence of storing time and temperature on the viscosity of egg yolk. J Food Eng 2010; 96: 266-9.CrossRef Severa L, Nedomova S, Buchar J. Influence of storing time and temperature on the viscosity of egg yolk. J Food Eng 2010; 96: 266-9.CrossRef
Metadata
Title
The viscous behaviour of HES 130/0.4 (Voluven®) and HES 260/0.45 (Pentaspan®)
Authors
Andrew M. Walker, MGIS
Kogan Lee, BSc
Gary M. Dobson, MD
Clifton R. Johnston, PhD
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 3/2012
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-011-9648-6

Other articles of this Issue 3/2012

Canadian Journal of Anesthesia/Journal canadien d'anesthésie 3/2012 Go to the issue

Book and New Media Reviews

TEE Pocket Manual - Revised Reprint