文章基本信息

标题：Effect of Acute Normovolemic Hemodilution on Homologous Blood Saving during Off-Pump CABG
作者：Choi, So Ron ; Kim, Ji Yoon ; Chin, Young Jhoon 等
期刊名称：Korean Journal of Anesthesiology
印刷版ISSN：2005-6419
出版年度：2003
卷号：45
期号：5
页码：601-605
DOI：10.4097/kjae.2003.45.5.601
语种：English
出版社：The Korean Society of Anesthesiologists,
摘要：Background
Acute normovolemic hemodilution (ANH) is accepted to be the easiest and most economical method of autotransfusion. This study was performed to investigate the clinical usefulness of ANH in patients undergoing off-pump CABG.
Methods
Thirty patients were randomly divided into two groups. In the ANH group, 753.3 ± 51.6 ml of fresh autologous whole blood were sequestrated from a pulmonary artery catheter following induction of anesthesia with simultaneous infusion of colloids and crystalloid solution from a separate line. Perioperative changes of hemoglobin, hematocrit level, platelet counts, prothrombin time, cardiac output, transfusion requirement and the amount of postoperative drainage were compared between the two groups.
Results
Perioperative changes of platelet counts and PT showed no significant differences between the two groups. Less allogenic blood was used in the ANH group (0.27 ± 0.46 unit) than in the control group (1.27 ± 0.80 unit) in the operation room.
Conclusions
ANH can decrease the transfusion requirement in off-pump CABG.
关键词：acute normovolemic hemodilution; Allogenic transfusion; autotransfusion; Coronary Artery Bypass Graft