THE EFFICACY OF DEXTRANS OF DIFFERENT MOLECULAR WEIGHTS IN SHOCK SECONDARY TO LIMB CLAMPING
A degree of traumatic shock was produced in rats by the removal of metal clamps which had been applied to both hind limbs for a period of 10 hr. This was lethal within 24 hr. to all animals not receiving fluid therapy. The infusion of plasma expanders delayed or prevented the development of irreversible shock. All fluid therapy relieved the oliguria produced by the shock although this relief generally occurred 24 hr. after the release of the clamps. The plasma expander which best promoted survival was the Connaught dextran 13-1, a solution with an intrinsic viscosity of 0.34 (mean mol. wt. 150,000). Survival with the dextran solutions was increased with increasing molecular weights of the dextrans. This seemed to be related to the retention of the larger molecules for a longer period of time within the body.