| Crystalloid or colloid for partial exchange transfusion in neonatal polycythemia: a systematic review and meta-analysis. | |
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MedLine Citation:
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PMID: 16303705 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: To determine whether crystalloid solutions are as effective as colloid solutions when a partial exchange transfusion is performed in newborns with polycythemia. METHODS: We searched MEDLINE, EMBASE, and the Cochrane Controlled Trials Register of the Cochrane Library (1966-2004). Keywords used were: polycythemia, partial exchange transfusion, hyperviscosity, and limited to newborn. Randomized studies in newborns with polycythemia were selected for evaluation. Outcomes examined were: long-term neurodevelopment; short-term physiological effects; improvement in clinical symptoms; reduction in haematocrit at 4-6 h; haematocrit at 24 h; and frequency of serious complications. RESULTS: Four randomized controlled clinical trials, including 200 patients in total, with evaluable data, which satisfied our criteria, were found. There were no data on long-term outcomes. There is no reported important difference in short-term physiologic effects. Use of crystalloid was as effective as colloid in both correction of haematological values and reduction of clinical symptoms following partial exchange transfusion. CONCLUSION: Crystalloid solutions are as effective as colloid solutions for partial exchange transfusion. When crystalloid solutions are used for this purpose, there is no risk of transmission of blood-borne diseases, there is no risk of anaphylaxis, they are rapidly and easily available, and are less expensive. The use of crystalloid should become the standard for partial exchange transfusion. |
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Authors:
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Eugene M Dempsey; Keith Barrington |
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Publication Detail:
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Type: Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Acta paediatrica (Oslo, Norway : 1992) Volume: 94 ISSN: 0803-5253 ISO Abbreviation: Acta Paediatr. Publication Date: 2005 Nov |
Date Detail:
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Created Date: 2005-11-23 Completed Date: 2006-02-23 Revised Date: 2010-03-23 |
Medline Journal Info:
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Nlm Unique ID: 9205968 Medline TA: Acta Paediatr Country: Norway |
Other Details:
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Languages: eng Pagination: 1650-5 Citation Subset: IM |
Affiliation:
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Department of Paediatrics, McGill University Health Center, Montreal, Canada. gene.demsey@sympatico.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Colloids Exchange Transfusion, Whole Blood / methods* Humans Infant, Newborn Isotonic Solutions Polycythemia / therapy* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Colloids; 0/Isotonic Solutions; 0/crystalloid solutions |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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