Summary
A study of 27 quadraplegic patients selected at random has demonstrated that both blood volume and vessel response to stress are unpredictable. A study of the surgical history of quadraplegic patients suggests that wound healing is impaired and that morbidity is increased in such patients unless the blood volume is replaced to near normal. Blood volume measurements should be routine in the pre-operative assessment of these patients.
Résumé
Une étude de 27 patients quadriplégiques choisis au hazard, a démontré que le volume sanguin et les vaisseaux répondent au stress de façon imprévisible. Une étude portant sur l’histoire chirurgicale des quadriplégiques, suggère que la guéri-son des plaies est retardée et que la morbidité est augmentée chez ces patients, à moins que le volume sanguin ne soit corrigé à des chiffres quasi-normaux. De routine, la mesure du volume sanguin devrait faire partie de l’évaluation préopératoire chez ces patients.
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Desmond, J.W., Laws, A.K. Blood volume and capacitance vessel compliance in the quadraplegic patient. Canad. Anaesth. Soc. J. 21, 421–426 (1974). https://doi.org/10.1007/BF03006077
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DOI: https://doi.org/10.1007/BF03006077