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Titolo:
The effect of acute normovolaemic haemodilution on blood transfusion requirements in abdominal aortic aneurysm repair
Autore:
Wolowczyk, L; Lewis, DR; Nevin, M; Smith, FCT; Baird, RN; Lamont, PM;
Indirizzi:
Bristol Royal Infirm & Gen Hosp, Vasc Studies Unit, Dept Vasc Surg, Bristol BS2 8HW, Avon, England Bristol Royal Infirm & Gen Hosp Bristol Avon England BS2 8HW von, England Bristol Royal Infirm & Gen Hosp, Dept Anaesthesiol, Bristol BS2 8HW, Avon,England Bristol Royal Infirm & Gen Hosp Bristol Avon England BS2 8HW Avon,England
Titolo Testata:
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
fascicolo: 4, volume: 22, anno: 2001,
pagine: 361 - 364
SICI:
1078-5884(200110)22:4<361:TEOANH>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE NORMOVOLEMIC HEMODILUTION; ALLOGENEIC BLOOD; AUTOLOGOUS BLOOD; RADICAL PROSTATECTOMY; MEDICAL PROGRESS; 2 PARTS; SURGERY;
Keywords:
acute normovolaemic haemodilution; autologous blood transfusion; abdominal aortic aneurysm repair;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Lamont, PM Bristol Royal Infirm & Gen Hosp, Vasc Studies Unit, Dept Vasc Surg, Level 7, Bristol BS2 8HW, Avon, England Bristol Royal Infirm & Gen Hosp Level 7 Bristol Avon England BS2 8HW
Citazione:
L. Wolowczyk et al., "The effect of acute normovolaemic haemodilution on blood transfusion requirements in abdominal aortic aneurysm repair", EUR J VAS E, 22(4), 2001, pp. 361-364

Abstract

Objective: to evaluate the impact of acute normovolaemic haemodilution (ANH) on the blood transfusion requirements in elective abdominal aortic aneurysm (AAA) repair in a single vascular unit. Methods: thirty-two patients underwent ANH during elective AAA repair between 1992 and 1997. The operation was performed by the same surgeon/anaesthetist team in 75% of cases. Their demographic details, type of aneurysm (infrarenal or supra-renal), preoperative blood cross match, use of intra-operative red cell salvage, blood loss, peri-operative bank blood requirements, pre-op and on-discharge haemoglobin levels and post-operative outcome were recorded. The results were compared to a group of 40 randomly selected patients (to represent the unit average) who underwent elective AAA repair by variable surgeon/anaesthetist teams without ANH in the same time period,Results. there were more supra-renal AAA repairs in the ANH group (8/32) than in the non-ANH group (0/40, p <0.01). ANH patients required significantly less blood transfusion peri-operatively (median 2 units) than the non-ANH patients (median 3 units, p = 0.02). There were no other significant differences between the variables measured. Conclusion: these results suggest that a dedicated team can achieve significant reductions in the use of heterologous blood transfusion compared to the vascular unit average experience by the effective use of ANH.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 06:51:24