Normovolaemic Haemodilution
on
6.8.04
with
0 comments
You are here: Home » Anesthesia Notes » Normovolaemic Haemodilution
The suitability of the patient for this procedure must be established in advance.
The haemoglobin and haematocrit should be "normal"; eg Hb preferably above 12 g/100 ml.
The cardiovascular system must be such as to be able to compensate for the reduced oxygen carrying capacity.
Technique.
2 IV cannulae in different sites eg arms - one large (eg 12G) to collect blood, the other usual size for fluids and drugs.
Bleed a pre-determined volume of blood (to h'crit not less than 27) into packs with anticoagulant, in the prescribed manner, label and number in order of taking.
Meanwhile replace volume with N/Saline or N/Saline and colloid.
Leave the collected blood on the anaesthesia trolley.
When blood loss is finished , or is minimal (ie at or near end of surgery) re-infuse blood, beginning with the last unit taken, so that the last blood to be re-infused is that taken first and therefore that with the highest haematocrit (given when no further significant blood loss expected).
Tags: Anesthesia, Notes
Category: Anesthesia Notes
Subscribe to:
Post Comments (Atom)
POST COMMENT
0 comments:
Post a Comment