Myocardial ischaemia precipitated by acute normovolaemic haemodilution

被引:14
作者
Carvalho, B [1 ]
Ridler, BMF [1 ]
Thompson, JF [1 ]
Telford, RJ [1 ]
机构
[1] Royal Devon & Exeter Healthcare NHS Trust, Exeter EX2 5DW, Devon, England
关键词
acute normovolaemic haemodilution; autologous blood transfusion; myocardial ischaemia;
D O I
10.1046/j.1365-3148.2003.00438.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute normovolaemic haemodilution (ANH) is widely used as part of a blood conservation strategy to minimize the use of allogenic blood in the peri-operative period. Its role has not been proven in a prospective randomized trial. The potential benefits must not blind clinicians to the possible hazards. We report a life-threatening complication of ANH prior to induction of anaesthesia for aortic aneurysm repair.
引用
收藏
页码:165 / 168
页数:4
相关论文
共 11 条
[1]  
[Anonymous], 2001, PER BLOOD TRANSF EL
[2]   In-hospital mortality from abdominal aortic surgery in Great Britain and Ireland: Vascular Anaesthesia Society audit [J].
Bayly, PJM ;
Matthews, JNS ;
Dobson, PM ;
Price, ML ;
Thomas, DG .
BRITISH JOURNAL OF SURGERY, 2001, 88 (05) :687-692
[3]   MATHEMATICAL AND COMPUTER MODELING OF ACUTE NORMOVOLEMIC HEMODILUTION [J].
BRECHER, ME ;
ROSENFELD, M .
TRANSFUSION, 1994, 34 (02) :176-179
[4]  
Eagle KA, 1996, CIRCULATION, V93, P1278
[5]  
Gillon J, 1999, TRANSFUSION MED, V9, P259
[6]  
Gutenstein M, 2002, BRIT J SURG, V89, P516
[7]   MYOCARDIAL-INFARCTION AFTER RECONSTRUCTION OF THE ABDOMINAL-AORTA [J].
KALRA, M ;
CHARLESWORTH, D ;
MORRIS, JA ;
ALKHAFFAF, H .
BRITISH JOURNAL OF SURGERY, 1993, 80 (01) :28-31
[8]   LIMIT TO CARDIAC COMPENSATION DURING ACUTE ISOVOLEMIC HEMODILUTION - INFLUENCE OF CORONARY STENOSIS [J].
LEVY, PS ;
KIM, SJ ;
ECKEL, PK ;
CHAVEZ, R ;
ISMAIL, EF ;
GOULD, SA ;
SALEM, MR ;
CRYSTAL, GJ .
AMERICAN JOURNAL OF PHYSIOLOGY, 1993, 265 (01) :H340-H349
[9]   Guidelines for autologous transfusion .2. Perioperative haemodilution and cell salvage [J].
Napier, JAF ;
Bruce, M ;
Chapman, J ;
Duguid, JKM ;
Kelsey, PR ;
Knowles, SM ;
Murphy, MF ;
Williamson, LM ;
Wood, JK ;
Lee, D ;
Contreras, M ;
Cross, N ;
Desmond, MJ ;
Gillon, J ;
Lardy, A ;
Williams, FG .
BRITISH JOURNAL OF ANAESTHESIA, 1997, 78 (06) :768-771
[10]   Hemodilution tolerance in patients with coronary artery disease who are receiving chronic beta-adrenergic blocker therapy [J].
Spahn, DR ;
Schmid, ER ;
Seifert, B ;
Pasch, T .
ANESTHESIA AND ANALGESIA, 1996, 82 (04) :687-694