9783540553526 - Hemodilution (4 Ergebnisse)

Softcover. Zustand: Fine. Leichte Rillen / Abschürfungen / Risse / Knicke. This book focuses on conservative therapy for circulatory disturbances and blood volume substitution using hydroxyethyl starch. It offers a succinct discussion on hemodilution's role in treating various circulatory issues, presenting treatment regimens grounded in extensive clinical experience. Key aspects such as contraindications, potential side effects, and precautionary measures are thoroughly examined, including pharmacokinetics and biological effects. The appendix provides detailed measurement methods and normal value ranges for each technique, supported by numerous references. The presentation is innovative, with the first part offering concise clinical recommendations based on controlled studies. The second part details the most significant effects, while the last focuses on methods. General physical fundamentals and insights from animal models are intentionally omitted to prioritize clinical discussions. Only studies from the past five years are included, aiming to equip clinicians and practitioners with clear information on hemodilution, particularly regarding safety. The book's structure facilitates quick access to answers about hemodilution therapy.

Zustand: New. In.

Paperback. Zustand: Brand New. 1st edition. 250 pages. 9.26x6.11x0.58 inches. In Stock.

Taschenbuch. Zustand: Neu. Druck auf Anfrage Neuware - Printed after ordering - H. KIESEWETTER, J. KosciELNY, and F. JuNG Tbe byperoncotic colloid-osmotic pressure of tbe 10% Haes solution causes an increased intravascular volume because free tissue water flows into the vascular system [206]. Witb a volume expansion effect of about 50% an increase in intravascular volume of 750 ml (500 mi Haes and 250 mi tissue water) is expected immediately after hypervolemic hemodilution, after isovolemic bemodilution only an in crease of 250 mi ( only tissue water due to a pblebotomy of 500 mi). The blood is diluted by overloading the vascular system [245]. After isovolemic bemodilution tbe dilution effect is more marked due to the pblebotomy. Estimated by means of the total protcin concentration (Fig. 67) the dilution of plasma was 22% 1 h after isovolemic hemodilution but only 14% after bypervolemic bemodilution. Tbe plasma dilutions were almost confirmed by the concentration changes of albumin (Fig. 68). Therefore, the mixing ratio is 4. 1 to 1 (plasma to bydroxyetbyl starcb) for bypervolemic infusion of 500 ml Haes-sterillO% (200/0. 5) and 3. 7 to 1 for isovolemic dilution. Consequently, the hydroxyethyl starch concentration after isovolemic hemodilution was signifi cantly bigher at all measuring times tban after hypervolemic hemodilution (Fig. 61). If tbe infusion was performed quickly so that no renal output of the Haes solution could ensue, a mean bydroxyetbyl starch concentration of 10. 3 g per liter plasma would be expected immediately after isovolemic hemodilution for tbe above mixing ratio, and one of 9. 0 g after hypervolemic bemodilution.