Influence of coconut water on hemostasis


      Coconut water (CNW) can be used as short-term intravenous hydration and resuscitation fluid. We investigated the influence of coconut water on plasma coagulation in vitro. Either CNW or physiological saline (PS) was added to citrated plasma of 8 healthy volunteers. Coagulation capability of diluted plasma was evaluated by thrombelastography (TEG). Replacement of up to 50 % of citrated plasma by CNW or PS did not influence initiation of coagulation as indicated by split point and reaction time, respectively. Strength of fibrin clot as expressed by maximum amplitude (MA) of TEG recording dose dependently declined in both groups. Replacing 50 % of citrated plasma by CNW or PS reduced MA by 39% and 32%, respectively. The influence of coconut water on hemostasis as assessed by TEG does not differ from the effect caused by an identical volume of PS. (Am J Emerg Med 2001;19:287-289. Copyright © 2001 by W.B. Saunders Company)


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        • Campbell-Falck D
        • Thomas T
        • Falck TM
        • et al.
        The intravenous use of coconut water.
        Am J Emerg Med. 2000; 18: 108-111
        • Olurin EO
        • Durowoju JEO
        • Bassir O
        Intravenous coconut water therapy in surgical practice.
        West Afr Med J. 1972; 21: 124-131
        • Mallett SV
        • Cox DJA
        Br J Anaesth. 1992; 69: 307-313
        • Petroianu G
        • Liu J
        • Helfrich U
        • et al.
        Phospholipase A2-induced coagulation abnormalities after bee sting.
        Am J Emerg Med. 2000; 18: 22-27
        • Tuman KJ
        • Spiess BD
        • McCarthy RJ
        • et al.
        Effects of progressive blood loss on coagulation as measured by thrombelastography.
        Anesth Analg. 1987; 66: 856-863
        • Howland WS
        • Schweizer O
        • Gould P
        A comparison of intraoperative measurements of coagulation.
        Anesth Analg. 1974; 53: 657-663
        • Spiess BD
        • Tuman KJ
        • McCarthy RJ
        • et al.
        Thrombelastography as an indicator of post-cardiopulmonary bypass coagulopathies.
        J Clin Monit. 1987; 3: 25-30
        • Zuckerman L
        • Cohen E
        • Vagher JP
        • et al.
        Comparison of thrombelastography with common coagulation tests.
        Thromb Haemostb. 1981; 46: 752-756