Preoperative Acute Hypervolemic Hemodilution with Hydroxyethylstarch

Mielke, L.; Entholzner, E.; Kling, Michael; Breinbauer, B; Burgkart, Rainer; Hargasser, S.; Hipp, R.

doi:10.1213/00000539-199701000-00005

Cited by 53 publications

(26 citation statements)

References 19 publications

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“…Recently, different methods have been recommended to replace the ordinary total BT such as intraoperative BT with blood saved from the surgical field removing cancer cell (36) and preoperative acute hypervolemic hemodilution (37) combined with preoperative administration of human recombinant erythropoietin and parenteral iron supplementation. Previously, we found that during hepatic resection in cirrhotic patients temporary hepatic inflow and outflow occlusion significantly reduced operative blood loss and BT Figure 2.…”

Section: Ajg -May 2000mentioning

confidence: 99%

The Influence of Perioperative Blood Transfusion on Intrahepatic Recurrence After Curative Resection of Hepatocellular Carcinoma

Makino

Yamanoi

Kimoto

et al. 2000

American Journal of Gastroenterology

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Section: Ajg -May 2000mentioning

confidence: 99%

The Influence of Perioperative Blood Transfusion on Intrahepatic Recurrence After Curative Resection of Hepatocellular Carcinoma

Makino

Yamanoi

Kimoto

et al. 2000

American Journal of Gastroenterology

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“…HHD seems to be a simple as well as time-and cost-saving alternative for ANH in patients undergoing total hip replacement, with a predicted blood loss of about 1000 ml [33].…”

Section: Preoperative Acute Hypervolemic Hemodilution (Hhd)mentioning

confidence: 99%

The combination of hemodilution and controlled hypotension: physiology and clinical application

Fukusaki

Sumikawa

2000

Journal of Anesthesia

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“…Die präoperative hypervoläme Hämo-dilution ("volume loading") ist eine anerkannte ärztliche Maßnahme zur Reduktion der Rate an homologen Fremdbluttransfusionen [99]. Durch eine Vergröße-rung des Plasmavolumens wird die Konzentration der roten Blutzellen im Kreislauf gesenkt, um im Falle einer intraoperativen Blutung den Nettoverlust an Sauerstoffträgern zu reduzieren [36,145,172].…”

Section: Tab 1 Exemplarische Aussagen Aus Lehrbüchern Und üBersichtsunclassified

“…Durch eine Vergröße-rung des Plasmavolumens wird die Konzentration der roten Blutzellen im Kreislauf gesenkt, um im Falle einer intraoperativen Blutung den Nettoverlust an Sauerstoffträgern zu reduzieren [36,145,172]. Aufgrund des geringen Aufwandes und des fehlenden Risikos einer Konservenverwechslung oder -kontamination wird sie von manchen Autoren gegenüber der akuten normovolämen Hämodilution im Vorteil gesehen [99]. Letztere schützt die Ressourcen des Patienten vor Verlusten infolge chirurgischer Blutung durch die vorübergehende "Auslagerung" von Vollblut in spezielle Beutelsysteme (im Austausch gegen Infusionslösungen).…”

Section: Tab 1 Exemplarische Aussagen Aus Lehrbüchern Und üBersichtsunclassified

Determinanten des insensiblen Flüssigkeitsverlustes

et al. 2007

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Accurate perioperative fluid balance is the basis of a targeted infusion regimen. However, neither the initial status nor perioperative changes of the fluid compartments can be reliably measured in daily routine. In particular, insensible losses are not consistently assessed, so that substitution therapy is generally empirical. The object of this paper is to communicate the scientific data on this topic. Preoperative fasting (10 h) does not per se cause intravascular hypovolemia. In adults, total basal evaporation by way of the skin and airways and of any wounds during major abdominal interventions is usually less than 1 ml/kg/h. An inconstant fluid and protein shift towards the interstitial space perioperatively seems to be associated with hypervolemia, which suggests it should be preventable. The decisive factor in this context seems to be deterioration of the endothelial glycocalyx, whose further patho-physiological impact is currently only partially known. Clinical studies have revealed a link between fluid restriction and improved outcome after major abdominal surgery.

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Preoperative Acute Hypervolemic Hemodilution with Hydroxyethylstarch

Cited by 53 publications

References 19 publications

The Influence of Perioperative Blood Transfusion on Intrahepatic Recurrence After Curative Resection of Hepatocellular Carcinoma

The Influence of Perioperative Blood Transfusion on Intrahepatic Recurrence After Curative Resection of Hepatocellular Carcinoma

The combination of hemodilution and controlled hypotension: physiology and clinical application

Determinanten des insensiblen Flüssigkeitsverlustes

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