Measurement of plasma colloid osmotic pressure in neonatal foals under intensive care

Comparison of direct and indirect methods and the association of COP with selected clinical and clinicopathologic variables

K G Magdesian, C. Langdon Fielding, John E Madigan

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives: To describe and compare admission colloid osmotic pressure (COP) measurement using both direct and indirect methods in neonatal foals under intensive care, and to evaluate for associations between COP and clinical/clinicopathologic parameters. Design: Prospective study. Setting: Intensive care unit at a veterinary medical teaching hospital. Animals: Twenty-six critically ill neonatal foals were studied. A control group consisted of 9 clinically healthy neonatal foals. Interventions: Clinicopathologic data were collected at the time of admission. COP was measured directly using a colloid osmometer. Indirect COP was calculated using equations by both Landis-Pappenheimer (L-P) and Thomas and Brown. Measurements and main results: Measured admission COP values were 17.1 ± 4.3 and 17.7 ± 2.4 mmHg in critically ill and control foals, respectively, and these values were not significantly different. Critically ill foals with blood lactate concentrations >3 mmol/L had lower COP values than those with lactate ≤ 3 mmol/L. There was close agreement between indirect COP values calculated using the L-P equation and direct COP values measured in control foals (mean error = 0.0 ± 1.3 mmHg; R2 = 0.87). However, indirect values were not as predictive of direct COP in critically ill foals (mean error = 0.8 ± 3.8 mmHg; R2 = 0.64). As COP values increased, the indirect method tended to overestimate COP, whereas at lower values it slightly underestimated COP. Conclusion: While the L-P equation was a close approximation of direct COP in healthy foals, direct measurements of oncotic pressure cannot be replaced for monitoring of critically ill foals. Critically ill foals with higher lactate concentrations had lower COP values, suggesting a possible relationship between COP and lactate.

Original languageEnglish (US)
Pages (from-to)108-114
Number of pages7
JournalJournal of Veterinary Emergency and Critical Care
Volume14
Issue number2
StatePublished - Jun 2004

Fingerprint

colloids
Osmotic Pressure
Colloids
Critical Care
osmotic pressure
foals
Critical Illness
methodology
lactates
Lactic Acid
prospective studies
Teaching Hospitals

Keywords

  • Colloids
  • COP
  • Equine
  • Lactate monitoring
  • Oncotic pressure

ASJC Scopus subject areas

  • veterinary(all)

Cite this

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title = "Measurement of plasma colloid osmotic pressure in neonatal foals under intensive care: Comparison of direct and indirect methods and the association of COP with selected clinical and clinicopathologic variables",
abstract = "Objectives: To describe and compare admission colloid osmotic pressure (COP) measurement using both direct and indirect methods in neonatal foals under intensive care, and to evaluate for associations between COP and clinical/clinicopathologic parameters. Design: Prospective study. Setting: Intensive care unit at a veterinary medical teaching hospital. Animals: Twenty-six critically ill neonatal foals were studied. A control group consisted of 9 clinically healthy neonatal foals. Interventions: Clinicopathologic data were collected at the time of admission. COP was measured directly using a colloid osmometer. Indirect COP was calculated using equations by both Landis-Pappenheimer (L-P) and Thomas and Brown. Measurements and main results: Measured admission COP values were 17.1 ± 4.3 and 17.7 ± 2.4 mmHg in critically ill and control foals, respectively, and these values were not significantly different. Critically ill foals with blood lactate concentrations >3 mmol/L had lower COP values than those with lactate ≤ 3 mmol/L. There was close agreement between indirect COP values calculated using the L-P equation and direct COP values measured in control foals (mean error = 0.0 ± 1.3 mmHg; R2 = 0.87). However, indirect values were not as predictive of direct COP in critically ill foals (mean error = 0.8 ± 3.8 mmHg; R2 = 0.64). As COP values increased, the indirect method tended to overestimate COP, whereas at lower values it slightly underestimated COP. Conclusion: While the L-P equation was a close approximation of direct COP in healthy foals, direct measurements of oncotic pressure cannot be replaced for monitoring of critically ill foals. Critically ill foals with higher lactate concentrations had lower COP values, suggesting a possible relationship between COP and lactate.",
keywords = "Colloids, COP, Equine, Lactate monitoring, Oncotic pressure",
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T1 - Measurement of plasma colloid osmotic pressure in neonatal foals under intensive care

T2 - Comparison of direct and indirect methods and the association of COP with selected clinical and clinicopathologic variables

AU - Magdesian, K G

AU - Fielding, C. Langdon

AU - Madigan, John E

PY - 2004/6

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N2 - Objectives: To describe and compare admission colloid osmotic pressure (COP) measurement using both direct and indirect methods in neonatal foals under intensive care, and to evaluate for associations between COP and clinical/clinicopathologic parameters. Design: Prospective study. Setting: Intensive care unit at a veterinary medical teaching hospital. Animals: Twenty-six critically ill neonatal foals were studied. A control group consisted of 9 clinically healthy neonatal foals. Interventions: Clinicopathologic data were collected at the time of admission. COP was measured directly using a colloid osmometer. Indirect COP was calculated using equations by both Landis-Pappenheimer (L-P) and Thomas and Brown. Measurements and main results: Measured admission COP values were 17.1 ± 4.3 and 17.7 ± 2.4 mmHg in critically ill and control foals, respectively, and these values were not significantly different. Critically ill foals with blood lactate concentrations >3 mmol/L had lower COP values than those with lactate ≤ 3 mmol/L. There was close agreement between indirect COP values calculated using the L-P equation and direct COP values measured in control foals (mean error = 0.0 ± 1.3 mmHg; R2 = 0.87). However, indirect values were not as predictive of direct COP in critically ill foals (mean error = 0.8 ± 3.8 mmHg; R2 = 0.64). As COP values increased, the indirect method tended to overestimate COP, whereas at lower values it slightly underestimated COP. Conclusion: While the L-P equation was a close approximation of direct COP in healthy foals, direct measurements of oncotic pressure cannot be replaced for monitoring of critically ill foals. Critically ill foals with higher lactate concentrations had lower COP values, suggesting a possible relationship between COP and lactate.

AB - Objectives: To describe and compare admission colloid osmotic pressure (COP) measurement using both direct and indirect methods in neonatal foals under intensive care, and to evaluate for associations between COP and clinical/clinicopathologic parameters. Design: Prospective study. Setting: Intensive care unit at a veterinary medical teaching hospital. Animals: Twenty-six critically ill neonatal foals were studied. A control group consisted of 9 clinically healthy neonatal foals. Interventions: Clinicopathologic data were collected at the time of admission. COP was measured directly using a colloid osmometer. Indirect COP was calculated using equations by both Landis-Pappenheimer (L-P) and Thomas and Brown. Measurements and main results: Measured admission COP values were 17.1 ± 4.3 and 17.7 ± 2.4 mmHg in critically ill and control foals, respectively, and these values were not significantly different. Critically ill foals with blood lactate concentrations >3 mmol/L had lower COP values than those with lactate ≤ 3 mmol/L. There was close agreement between indirect COP values calculated using the L-P equation and direct COP values measured in control foals (mean error = 0.0 ± 1.3 mmHg; R2 = 0.87). However, indirect values were not as predictive of direct COP in critically ill foals (mean error = 0.8 ± 3.8 mmHg; R2 = 0.64). As COP values increased, the indirect method tended to overestimate COP, whereas at lower values it slightly underestimated COP. Conclusion: While the L-P equation was a close approximation of direct COP in healthy foals, direct measurements of oncotic pressure cannot be replaced for monitoring of critically ill foals. Critically ill foals with higher lactate concentrations had lower COP values, suggesting a possible relationship between COP and lactate.

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