Alternatives to allogeneic blood use in surgery: Acute normovolemic hemodilution and preoperative autologous donation
Acute normovolemic hemodilution (ANH) is a common blood conservation strategy in elective surgical procedures. Moderate ANH is safe in patients >60 years of age; ANH is not recommended for patients who have coronary artery disease, significant anemia, renal disease, severe hepatic disease, pulmon...
Gespeichert in:
Veröffentlicht in: | The American journal of surgery 1995-12, Vol.170 (6), p.S49-S52 |
---|---|
Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | S52 |
---|---|
container_issue | 6 |
container_start_page | S49 |
container_title | The American journal of surgery |
container_volume | 170 |
creator | D'Ambra, Michael N. Kaplan, David K. |
description | Acute normovolemic hemodilution (ANH) is a common blood conservation strategy in elective surgical procedures. Moderate ANH is safe in patients >60 years of age; ANH is not recommended for patients who have coronary artery disease, significant anemia, renal disease, severe hepatic disease, pulmonary emphysema, or obstructive lung disease. Preservation of oxygen delivery during ANH depends on the maintenance of normovolemia to avoid decompensation and falling cardiac output. Preoperative autologous donation (PAD) as a blood conservation strategy has the advantage of protecting the patient from risks associated with allogenic transfusion, but it is expensive and time consuming. No protocols have established a preference for either ANH or PAD; an early study suggested that ANH is less expensive and more effectively preserves blood components, but other researchers warn that the methodology for ANH remains unresolved. |
doi_str_mv | 10.1016/S0002-9610(99)80059-2 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_77786966</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002961099800592</els_id><sourcerecordid>77786966</sourcerecordid><originalsourceid>FETCH-LOGICAL-c459t-3d4c2b037c081cee9269e651050f3a0dd08176274253bf75470f0c166f517ed33</originalsourceid><addsrcrecordid>eNqFkc9vFCEUx4nR1LX6JzThYIwexsIwwOCl2TRqmzTpQT0TFt5UDAMrMJv0v5f9kb16IvA-7_tePiB0RclnSqi4_kEI6TslKPmo1KeREK66_gVa0VGqjo4je4lWZ-Q1elPKn3aldGAX6GLkg-iHcYWWdaiQo6l-BwXXhE0I6QkieIs3ISWHlwLYR1yW_AT5-Qte26UCjinPaZcCzA38DXNyPizVp4hNdHibIW0hH1KxWWpqmWkp2KX9pBTfoleTCQXenc5L9Ovb15-3d93D4_f72_VDZweuasfcYPsNYdKSkVoA1QsFglPCycQMca49S9HLoedsM0k-SDIRS4WYOJXgGLtEH46525z-LlCqnn2xEIKJ0PbRUspRKCEayI-gzamUDJPeZj-b_Kwp0Xvd-qBb711qpfRBt-5b39VpwLKZwZ27Tn5b_f2pboo1YcomWl_OGGv_wRhp2M0RgyZj5yHrYj1EC85nsFW75P-zyD-tO53V</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>77786966</pqid></control><display><type>article</type><title>Alternatives to allogeneic blood use in surgery: Acute normovolemic hemodilution and preoperative autologous donation</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>D'Ambra, Michael N. ; Kaplan, David K.</creator><creatorcontrib>D'Ambra, Michael N. ; Kaplan, David K.</creatorcontrib><description>Acute normovolemic hemodilution (ANH) is a common blood conservation strategy in elective surgical procedures. Moderate ANH is safe in patients >60 years of age; ANH is not recommended for patients who have coronary artery disease, significant anemia, renal disease, severe hepatic disease, pulmonary emphysema, or obstructive lung disease. Preservation of oxygen delivery during ANH depends on the maintenance of normovolemia to avoid decompensation and falling cardiac output. Preoperative autologous donation (PAD) as a blood conservation strategy has the advantage of protecting the patient from risks associated with allogenic transfusion, but it is expensive and time consuming. No protocols have established a preference for either ANH or PAD; an early study suggested that ANH is less expensive and more effectively preserves blood components, but other researchers warn that the methodology for ANH remains unresolved.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(99)80059-2</identifier><identifier>PMID: 8546248</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood Transfusion - methods ; Blood Transfusion, Autologous ; Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis ; Cardiac Surgical Procedures ; Hemodilution - methods ; Humans ; Medical sciences ; Preoperative Care - methods ; Transfusions. Complications. Transfusion reactions. Cell and gene therapy</subject><ispartof>The American journal of surgery, 1995-12, Vol.170 (6), p.S49-S52</ispartof><rights>1995</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-3d4c2b037c081cee9269e651050f3a0dd08176274253bf75470f0c166f517ed33</citedby><cites>FETCH-LOGICAL-c459t-3d4c2b037c081cee9269e651050f3a0dd08176274253bf75470f0c166f517ed33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961099800592$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3011330$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8546248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>D'Ambra, Michael N.</creatorcontrib><creatorcontrib>Kaplan, David K.</creatorcontrib><title>Alternatives to allogeneic blood use in surgery: Acute normovolemic hemodilution and preoperative autologous donation</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Acute normovolemic hemodilution (ANH) is a common blood conservation strategy in elective surgical procedures. Moderate ANH is safe in patients >60 years of age; ANH is not recommended for patients who have coronary artery disease, significant anemia, renal disease, severe hepatic disease, pulmonary emphysema, or obstructive lung disease. Preservation of oxygen delivery during ANH depends on the maintenance of normovolemia to avoid decompensation and falling cardiac output. Preoperative autologous donation (PAD) as a blood conservation strategy has the advantage of protecting the patient from risks associated with allogenic transfusion, but it is expensive and time consuming. No protocols have established a preference for either ANH or PAD; an early study suggested that ANH is less expensive and more effectively preserves blood components, but other researchers warn that the methodology for ANH remains unresolved.</description><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Transfusion - methods</subject><subject>Blood Transfusion, Autologous</subject><subject>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</subject><subject>Cardiac Surgical Procedures</subject><subject>Hemodilution - methods</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Preoperative Care - methods</subject><subject>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9vFCEUx4nR1LX6JzThYIwexsIwwOCl2TRqmzTpQT0TFt5UDAMrMJv0v5f9kb16IvA-7_tePiB0RclnSqi4_kEI6TslKPmo1KeREK66_gVa0VGqjo4je4lWZ-Q1elPKn3aldGAX6GLkg-iHcYWWdaiQo6l-BwXXhE0I6QkieIs3ISWHlwLYR1yW_AT5-Qte26UCjinPaZcCzA38DXNyPizVp4hNdHibIW0hH1KxWWpqmWkp2KX9pBTfoleTCQXenc5L9Ovb15-3d93D4_f72_VDZweuasfcYPsNYdKSkVoA1QsFglPCycQMca49S9HLoedsM0k-SDIRS4WYOJXgGLtEH46525z-LlCqnn2xEIKJ0PbRUspRKCEayI-gzamUDJPeZj-b_Kwp0Xvd-qBb711qpfRBt-5b39VpwLKZwZ27Tn5b_f2pboo1YcomWl_OGGv_wRhp2M0RgyZj5yHrYj1EC85nsFW75P-zyD-tO53V</recordid><startdate>19951201</startdate><enddate>19951201</enddate><creator>D'Ambra, Michael N.</creator><creator>Kaplan, David K.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19951201</creationdate><title>Alternatives to allogeneic blood use in surgery: Acute normovolemic hemodilution and preoperative autologous donation</title><author>D'Ambra, Michael N. ; Kaplan, David K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-3d4c2b037c081cee9269e651050f3a0dd08176274253bf75470f0c166f517ed33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Transfusion - methods</topic><topic>Blood Transfusion, Autologous</topic><topic>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</topic><topic>Cardiac Surgical Procedures</topic><topic>Hemodilution - methods</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Preoperative Care - methods</topic><topic>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>D'Ambra, Michael N.</creatorcontrib><creatorcontrib>Kaplan, David K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>D'Ambra, Michael N.</au><au>Kaplan, David K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alternatives to allogeneic blood use in surgery: Acute normovolemic hemodilution and preoperative autologous donation</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1995-12-01</date><risdate>1995</risdate><volume>170</volume><issue>6</issue><spage>S49</spage><epage>S52</epage><pages>S49-S52</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Acute normovolemic hemodilution (ANH) is a common blood conservation strategy in elective surgical procedures. Moderate ANH is safe in patients >60 years of age; ANH is not recommended for patients who have coronary artery disease, significant anemia, renal disease, severe hepatic disease, pulmonary emphysema, or obstructive lung disease. Preservation of oxygen delivery during ANH depends on the maintenance of normovolemia to avoid decompensation and falling cardiac output. Preoperative autologous donation (PAD) as a blood conservation strategy has the advantage of protecting the patient from risks associated with allogenic transfusion, but it is expensive and time consuming. No protocols have established a preference for either ANH or PAD; an early study suggested that ANH is less expensive and more effectively preserves blood components, but other researchers warn that the methodology for ANH remains unresolved.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8546248</pmid><doi>10.1016/S0002-9610(99)80059-2</doi></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0002-9610 |
ispartof | The American journal of surgery, 1995-12, Vol.170 (6), p.S49-S52 |
issn | 0002-9610 1879-1883 |
language | eng |
recordid | cdi_proquest_miscellaneous_77786966 |
source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
subjects | Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Transfusion - methods Blood Transfusion, Autologous Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis Cardiac Surgical Procedures Hemodilution - methods Humans Medical sciences Preoperative Care - methods Transfusions. Complications. Transfusion reactions. Cell and gene therapy |
title | Alternatives to allogeneic blood use in surgery: Acute normovolemic hemodilution and preoperative autologous donation |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T18%3A21%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Alternatives%20to%20allogeneic%20blood%20use%20in%20surgery:%20Acute%20normovolemic%20hemodilution%20and%20preoperative%20autologous%20donation&rft.jtitle=The%20American%20journal%20of%20surgery&rft.au=D'Ambra,%20Michael%20N.&rft.date=1995-12-01&rft.volume=170&rft.issue=6&rft.spage=S49&rft.epage=S52&rft.pages=S49-S52&rft.issn=0002-9610&rft.eissn=1879-1883&rft.coden=AJSUAB&rft_id=info:doi/10.1016/S0002-9610(99)80059-2&rft_dat=%3Cproquest_cross%3E77786966%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=77786966&rft_id=info:pmid/8546248&rft_els_id=S0002961099800592&rfr_iscdi=true |