[Blood-sparing techniques in pediatric neuroanesthesiology].
The paper analyzes the clinical effectiveness of various blood-sparing techniques (hypervolemic hemodilution, isovolemic hemodilution, and instrumental infusion of washed autoerythrocytes) in neurosurgical interventions (n = 93) in 89 patients. Hypervolemic hemodilution that remains, however, to be the method of choice for young and low-weight children has proved to be the least clinically effective as a method for blood saving. The blood-sparing effectiveness of isovolmic hemodilution and instrumental reinfusion of washed autoerythrocytes is about the same, but the efficiency of reinfusion was higher with a blood loss volume of more than 100% of the proper volume of circulating complexes. A combination of hemodilution and instrumental reinfusion of autoerythrocytes provides a summation of blood-sparing effects for the mechanisms of blood saving vary with these techniques. The use of any blood-sparing technique accelerates and worsens hemostatic disorders.
Lemeneva
N V
NV
Sorokin
V S
VS
Lubnin
A Iu
AIu
D000758:Anesthesia; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001804:Blood Transfusion, Autologous; D001810:Blood Volume; D002648:Child; D002675:Child, Preschool; D017707:Erythrocyte Transfusion / Q000379:methods*; D006438:Hemodilution / Q000379:methods*; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods*; D016896:Treatment Outcome