The facies development and onlap pattern of the lower Danubian Cretaceous Group (Bavaria, southern Germany) have been evaluated based on detailed logging, subdivision, and correlation of four key sections using an integrated stratigraphic approach as well as litho-, bio-, and microfacies analyses. Contrary to statements in the literature, the transgressive onlap of the Regensburg Formation started in the Regensburg-Kelheim area already in the early Early Cenomanian Mantelliceras mantelli ammonite Zone and not in the Late Cenomanian. In the Early Cenomanian, nearshore glauconitic-bioclastic sandstones prevailed (Saal Member), followed by Middle to lower Upper Cenomanian mid-shelf siliceous carbonates intercalated with fine-sandy to silty marls (Bad Abbach Member). Starting in the midLate Cenomanian (Metoicoceras geslinianum ammonite Zone), a considerable deepening pulse during the Cenomanian-Turonian Boundary Event (CTBE) initiated the deposition of the deeper shelf silty marls of the Eibrunn Formation, which range into the early Early Turonian. During the CTBE transgression, also the proximal Bodenwöhrer Senke (ca. 40 km NE of Regensburg) was flooded, indicated by the onlap of the Regensburg Formation onto Variscan granites of the Bohemian Massif, overlain by a thin tongue of lowermost Turonian Eibrunn Formation. A detailed record of the positive d 13 C excursion of the global Oceanic Anoxic Event (OAE) 2 has been retrieved from this shallow-water setting. An integrated approach of bio-, event-, carbon stable isotope and sequence stratigraphy was applied to correlate the sections and to decipher the dynamics of this overall transgressive depositional system. The Cenomanian successions show five prominent unconformities, which correlate with those being known from basins in Europe and elsewhere, indicating their eustatic origin. The rate of sea-level rise during the CTBE suggests glacio-eustasy as a driving mechanism for Late Cenomanian sea-level changes. The Regensburg and Eibrunn formations of the lower Danubian Cretaceous Group are highly diachronous lithostratigraphic units. Their regional distribution and northeast-directed onlap pattern onto the southwestern margin of the Bohemian Massif can readily be explained by the lateral movements of roughly coast-parallel (i.e., NW/SE-trending) facies belts of a graded shelf system transgressing on a northeastwardrising substrate. It took the Cenomanian coastline ca. 6 Ma to transgress from southwest of Regensburg to the topographically elevated granite cliffs southeast of Roding in the Bodenwöhrer Senke (=60 km distance).
Acute normovolemic hemodilution (ANH) may help to reduce demand for homologous blood but requires extra time and apparatus. A more simple procedure is acute hypervolemic hemodilution (HHD), where hydroxyethylstarch is administered preoperatively without removal of blood. In a prospectively randomized study we compared ANH (preoperatively 15 mL/kg autologous blood removal and replacement with 15 mL/kg of hydroxyethylstarch with HHD (15 mL/kg of hydroxyethylstarch administered preoperatively) in 49 patients undergoing hip arthroplasty. To avoid excessive intravascular volume, we used the vasodilating effect of isoflurane. No significant differences were found between groups (ANH, n = 23; HHD, n = 26) for intraoperative blood loss (ANH versus HHD, median [minimum-maximum]); 545 [295-785] mL versus 520 [315-825] mL) and postoperative blood loss (730 [525-945] mL versus 780 [495-895] mL), postoperative hemoglobin, hemotocrit, platelet count or coagulation variables, and transfusion requirements (ANH 43% versus HHD 35% of patients received homologous blood) (P > 0.05). Heart rate did not change significantly in either group. In the ANH group mean arterial blood pressure (MAP) decreased after hemodilution (P < 0.05) while in the HHD group MAP did not change over time. Mean time required to perform ANH was 58 (46-62) min versus HHD 16 (12-19) min (P < 0.05). Costs for ANH were $63.60 USD and for HHD $32.75 USD (labor costs not included). In orthopedic patients undergoing hip replacement with a predicted blood loss of about 1000 mL, HHD seems to be a simple as well as time- and cost-saving alternative for ANH.
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