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Determination of the standard value of circulating blood volume during anesthesia using pulse dye-densitometry: a multicenter study in Japan

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Abstract

Purpose

The standard value for circulating blood volume (BV) during anesthesia was determined by a multicenter study in Japan. The significance of BV on the reduction of blood pressure after the induction of anesthesia was also examined.

Methods

The study included 184 patients from eight university hospitals. After the induction of anesthesia, pulse dye-densitometry was performed according to a uniform protocol. Factors contributing to reduced blood pressure after induction of anesthesia were examined by multiple logistic regression analysis.

Results

The mean and standard deviation of BV was 80.0 ± 13.9 ml·kg−1; for females and 84.2 ± 15.3 ml·kg−1 for males (P > 0.05). There was no age difference in terms of BV. After adjusting for the effects of height, weight, and age, the factors predisposing to a reduction in blood pressure of >20 mmHg after induction of anesthesia were found to be age (P < 0.01) and BV (ml·kg−1) ( P < 0.001).

Conclusion

We determined the BV of anesthetized patients before surgery in Japan using pulse dye-densitometry. It is suggested that age is not a factor regarding BV, and that blood pressure tends to be reduced in hypovolemic patients after induction of anesthesia.

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Authors and Affiliations

  1. Department of Anesthesiology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, 181-8611, Japan

    Takehiko Iijima

  2. Department of Anesthesiology, Osaka University School of Medicine, Osaka, Japan

    Hiroshi Ueyama

  3. Department of Anesthesiology, School of Dentistry, Nihon University, Tokyo, Japan

    Yoshiyuki Oi

  4. Department of Anesthesiology, National Defense Medical College, Saitama, Japan

    Isao Fukuda

  5. Department of Anesthesiology, Hirosaki University School of Medicine, Hirosaki, Japan

    Hironori Ishihara

  6. Section of Anesthesiology and Clinical Physiology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan

    Hikaru Kohase

  7. Department of Anesthesiology, Keio University School of Medicine, Tokyo, Japan

    Yoshifumi Kotake

  8. Department of Anesthesiology, Saitama Medical Center/Saitama Medical School, Saitama, Japan

    Kaoru Koyama & Hideki Miyao

  9. Nihon Kohden Corporation, Tokyo, Japan

    Naoki Kobayashi

Authors
  1. Takehiko Iijima
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  2. Hiroshi Ueyama
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  3. Yoshiyuki Oi
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  4. Isao Fukuda
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  5. Hironori Ishihara
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  6. Hikaru Kohase
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  7. Yoshifumi Kotake
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  8. Kaoru Koyama
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  9. Hideki Miyao
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  10. Naoki Kobayashi
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Iijima, T., Ueyama, H., Oi, Y. et al. Determination of the standard value of circulating blood volume during anesthesia using pulse dye-densitometry: a multicenter study in Japan. J Anesth 19, 193–198 (2005). https://doi.org/10.1007/s00540-005-0320-6

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  • DOI: https://doi.org/10.1007/s00540-005-0320-6

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