Myocardial ischaemia precipitated by acute normovolaemic haemodilution.
Acute normovolaemic haemodilution (ANH) is widely used as part of a blood conservation strategy to minimize the use of allogenic blood in the peri-operative period. Its role has not been proven in a prospective randomized trial. The potential benefits must not blind clinicians to the possible hazards. We report a life-threatening complication of ANH prior to induction of anaesthesia for aortic aneurysm repair.
Carvalho
B
B
Royal Devon and Exeter Healthcare NHS Trust, Exeter, UK.
Ridler
B M F
BM
Thompson
J F
JF
Telford
R J
RJ
D000368:Aged; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery; D003324:Coronary Artery Disease / Q000150:complications; D004562:Electrocardiography; D006438:Hemodilution / Q000009:adverse effects*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology*; D019990:Perioperative Care / Q000009:adverse effects