[Acute isovolemic hemodilution during intracranial interventions with normo- and hypothermia]. / Akute isovolämische Hämodilution bei intrakraniellen Eingriffen in Normo- und Hypothermie.
Zentralbl Neurochir
; 39(2): 145-7, 149-50, 1978.
Article
em De
| MEDLINE
| ID: mdl-735578
In 50 neurosurgical patients (39 cerebral tumours and 11 aneurysms) isovloaemic haemodilution (HD) was carried out immediately before the operation. Of these, 37 were subsequently operated on with pharmacological-physical decrease in metabolism (30 to 32 degrees C) partly with arterial hypotension while 13 patients were operated on in normothermia without hypotension. A control group was formed of 50 patients with cerebral tumours who were operated on without HD in normothermia. 76 per cent of the operations could be carried out without transfusion of foreign blood. The mean values of the amounts of foreign blood were 120.0 ml in the HD-group as against 1344.0 ml in the control group. In the HD-group, dehydration measures could be completely renounced. Complications did not occur. Isovolaemic haemodilution, especially combined with pharmacological decrease in metabolism and controlled hypotension, can be recommended for all intracranial interventions involving greater risks.
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01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hemodiluição
/
Hipotermia Induzida
/
Neurocirurgia
Limite:
Adolescent
/
Adult
/
Aged
/
Humans
/
Middle aged
Idioma:
De
Ano de publicação:
1978
Tipo de documento:
Article