| Case report: intraoperative management of extreme hemodilution in a patient with a severed axillary artery. | |
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MedLine Citation:
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PMID: 20581160 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a case of extreme hemodilution in which appropriately crossmatched blood was not available. A 53-year-old man was admitted to our hospital because of hemorrhagic shock due to multiple stab wounds. His blood type was B, Rh negative, and his intravascular fluid volume was maintained with balanced salt solution and plasma substitutes, i.e., hydroxyethyl starch. His hemoglobin reached a nadir of 0.7 g/dL and hematocrit 2.2% before being transfused. No evidence of cardiac ischemia was noted and he was discharged in good condition. Extreme hemodilution can be successfully managed by maintaining a normal blood volume, 100% oxygen, and the use of plasma substitutes. |
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Authors:
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JianQiang Dai; WeiFeng Tu; Zheng Yang; RiHui Lin |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-06-25 |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 111 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-25 Completed Date: 2010-11-16 Revised Date: 2011-05-24 |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 1204-6 Citation Subset: AIM; IM |
Affiliation:
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Orthopedic Intensive Care Unit, Liuhua Qiao Hospital, Guangzhou, People's Republic of China. djqysh@163.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Axillary Artery
/
injuries,
surgery* Blood Grouping and Crossmatching Blood Transfusion Fluid Therapy* Hematocrit Hemodilution* Hemoglobins / metabolism Hetastarch / administration & dosage* Humans Intraoperative Care Male Middle Aged Oxygen Inhalation Therapy Plasma Substitutes / administration & dosage* Shock, Hemorrhagic / blood, etiology, surgery, therapy* Time Factors Treatment Outcome Vascular Surgical Procedures* Wounds, Stab / blood, complications, surgery, therapy* |
| Chemical | |
Reg. No./Substance:
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0/Hemoglobins; 0/Plasma Substitutes; 9005-27-0/Hetastarch |
| Comments/Corrections | |
Comment In:
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Anesth Analg. 2011 May;112(5):1251-2
[PMID:
21515657
]
Anesth Analg. 2010 Nov;111(5):1088-92 [PMID: 20971958 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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