title: [Case in which massive hydroxyethylated starch (HES) infusion was useful for massive hemorrhage in spite of progressive hemodilution].
abstract: A 72-year-old man with no internal complication underwent total prostatectomy. During operation, massive hemorrhage occurred. Because of delay in transfusion, hemodilution progressed until minimum hemoglobin concentration of 1.6 g x dl(-1): minimum hematocrit of 4.8%. In spite of this extreme hemodilution, we could stabilize his hemodynamics and he recovered without any apparent damage in major organs. For management of hemodynamics a massive dose of hydroxyethylated starch (HES) was infused to maintain the intravascular volume. For massive hemorrhage, HES infusion may be useful to keep hemodynamics in spite of progressive hemodilution.
authors.affiliation: Division of Anesthesia, Tokatsu Hospital, Nagareyama 270-0174.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamaguchi
authors.forename: Yuki
authors.initials: Y
authors.lastname: Kojima
authors.forename: Jiro
authors.initials: J
authors.lastname: Kitamura
mesh_terms: D000368:Aged; D000758:Anesthesia; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D018450:Disease Progression; D006438:Hemodilution; D006439:Hemodynamics; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000008:administration & dosage*; D008297:Male; D010952:Plasma Substitutes / Q000008:administration & dosage*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery
chemical_list: D006895:Hydroxyethyl Starch Derivatives; D010952:Plasma Substitutes