Use of plasma volume expanders in myocardial revascularisation

The optimal solution for priming cardiopulmonary bypass machines and for postoperative resuscitation following myocardial revascularisation should be inexpensive, free of risk of transmitting disease, and free of other detrimental side effects. Colloid solutions are preferred over crystalloid solutions because of elevations in extracellular sodium and water that occur with cardiopulmonary bypass. Albumin, plasma protein solution, hetastarch (hydroxyethyl starch) and dextran are available for use if blood is not necessary and mediastinal blood is not available. Hetastarch is associated with a lower risk of bleeding and less risk of allergic reaction than dextran, and its cost is substantially less than that of albumin. However, high doses increase the risk of bleeding complications.

Medienart:

Artikel

Erscheinungsjahr:

1992

Erschienen:

1992

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Drugs - 44(1992), 5 vom: 15. Nov., Seite 720-7

Sprache:

Englisch

Beteiligte Personen:

Lacy, J H [VerfasserIn]
Wright, C B [VerfasserIn]

Themen:

Colloids
Comparative Study
Dextrans
Hydroxyethyl Starch Derivatives
Journal Article
Plasma Substitutes
Review

Anmerkungen:

Date Completed 31.12.1992

Date Revised 13.11.2018

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM012607622