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Limits of Hemodilution in Patients with Coronary Artery Disease

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Update 1988

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 5))

Abstract

Preoperative intentional hemodilution is induced by an isovolemic exchange of whole blood with colloid or crystalloid solutions to gain autologous blood while maintaining normovolemia. Intentional hemodilution has been introduced into surgery because transfusion donor blood is associated with significant risks. The appearance of AIDS and its possible transmission by transfusion despite a selection of donors, is a very sensitive problem for patients and physicians [1]. However, it is probably not the major problem since the risk of non-A non-B hepatitis transmission is quantitatively more important. In addition, the evidence that transfusions of homologous blood can induce immunosuppression and thereby impair the host resistance of surgical patients is a cause of new concern [2]. These problems with homologous transfusion have promoted all techniques of autotransfusion. Among these, intentional hemodilution is the one which has probably known the greater development since it is the simplest and least expensive.

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© 1988 Springer-Verlag Berlin Heidelberg

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Baron, J.F., Vicaut, E., Duvelleroy, M. (1988). Limits of Hemodilution in Patients with Coronary Artery Disease. In: Vincent, J.L. (eds) Update 1988. Update in Intensive Care and Emergency Medicine, vol 5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83392-2_5

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  • DOI: https://doi.org/10.1007/978-3-642-83392-2_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-18981-7

  • Online ISBN: 978-3-642-83392-2

  • eBook Packages: Springer Book Archive

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