Heart, Lung and Circulation
Volume 15, Issue 4 , Pages 256-260 , August 2006

The Effect of Gain in Total Body Water on Haemoglobin Concentration and Body Weight Following Cardiac Surgery

  • Robert D. Slight, MBChB

      Affiliations

    • Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Little France Crescent, Old Dalkeith Road, Edinburgh, Scotland EH16 4SU, United Kingdom
    • Corresponding Author InformationCorresponding author. Tel.: +44 1312423901; fax: +44 1312423929.
    • ,
  • Nestor Demosthenous

      Affiliations

    • Faculty of Medicine, University of Edinburgh, United Kingdom
    • ,
  • Onyekwelu C. Nzewi, MBBS

      Affiliations

    • Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Little France Crescent, Old Dalkeith Road, Edinburgh, Scotland EH16 4SU, United Kingdom
    • ,
  • Ahmed R. Soliman, MBBS

      Affiliations

    • Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Little France Crescent, Old Dalkeith Road, Edinburgh, Scotland EH16 4SU, United Kingdom
    • ,
  • D. Brian L. McClelland, MBChB

      Affiliations

    • Scottish National Blood Transfusion Service, United Kingdom
    • ,
  • Pankaj S. Mankad, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Little France Crescent, Old Dalkeith Road, Edinburgh, Scotland EH16 4SU, United Kingdom

Received 27 October 2005 ,Revised 24 March 2006 ,Accepted 28 March 2006.

References 

  1. Bracco D, Revelly JP, Berger MM, Chiolero RL. Bedside determination of fluid accumulation after cardiac surgery using segmental bioelectrical impedance. Crit Care Med. 1998;26(6):1065–1070
  2. Perko MJ, Jarnvig IL, Hojgaard-Rasmussen N, Eliasen K, Arendrup H. Electric impedance for evaluation of body fluid balance in cardiac surgical patients. J Cardiothorac Vasc Anesth. 2001;15(1):44–48
  3. Fransen EJ, de Jong DS, Hermens WT, Maessen JG. Is postoperative blood loss, loss of blood? A pilot study in cardiac surgical patients. Perfusion. 2001;16(4):301–308
  4. Slight RD, Bappu NJ, Nzewi OC, McClelland DB, Mankad PS. Perioperative red cell, plasma, and blood volume change in patients undergoing cardiac surgery. Transfusion. 2006;46(3):392–397
  5. Dickerman RD, Morgan J, McConathy WJ, Schaller F. The postoperative catabolic state: when do you intervene?. Anaesthesia. 2005;60(5):514–515
  6. Bracey AW, Radovancevic R, Riggs SA, Houston S, Cozart H, Vaughn WK, et al. Lowering the hemoglobin threshold for transfusion in coronary artery bypass procedures: effect on patient outcome. Transfusion. 1999;39(10):1070–1077
  7. Practice Guidelines for blood component therapy: A report by the American Society of Anesthesiologists Task Force on Blood Component Therapy. Anesthesiology 1996;84(3):732–47.
  8. Weiskopf RB, Viele MK, Feiner J, Kelley S, Lieberman J, Noorani M, et al. Human cardiovascular and metabolic response to acute, severe isovolemic anemia. JAMA. 1998;279(3):217–221
  9. Weiskopf RB, Feiner J, Hopf H, Viele MK, Watson JJ, Lieberman J, et al. Heart rate increases linearly in response to acute isovolemic anemia. Transfusion. 2003;43(2):235–240
  10. Herregods L, Moerman A, Foubert L, den BN, Mortier E, Poelaert J, et al. Limited intentional normovolemic hemodilution: ST-segment changes and use of homologous blood products in patients with left main coronary artery stenosis. J Cardiothorac Vasc Anesth. 1997;11(1):18–23
  11. Licker M, Ellenberger C, Sierra J, Christenson J, Diaper J, Morel D. Cardiovascular response to acute normovolemic hemodilution in patients with coronary artery diseases: assessment with transesophageal echocardiography. Crit Care Med. 2005;33(3):591–597
  12. Most AS, Ruocco NA, Gewirtz H. Effect of a reduction in blood viscosity on maximal myocardial oxygen delivery distal to a moderate coronary stenosis. Circulation. 1986;74(5):1085–1092
  13. Lindstaedt M, Fritz MK, Yazar A, Perrey C, Germing A, Grewe PH, et al. Optimizing revascularization strategies in patients with multivessel coronary disease: impact of intracoronary pressure measurements. J Thorac Cardiovasc Surg. 2005;129(4):897–903
  14. Sowade O, Sowade B, Brilla K, Franke W, Stephan P, Gross J, et al. Kinetics of reticulocyte maturity fractions and indices and iron status during therapy with epoetin beta (recombinant human erythropoietin) in cardiac surgery patients. Am J Hematol. 1997;55(2):89–96
  15. Sowade O, Sowade B, Gross J, Brilla K, Ziemer S, Franke W, et al. Evaluation of erythropoietic activity on the basis of the red cell and reticulocyte distribution widths during epoetin beta therapy in patients undergoing cardiac surgery. Acta Haematol. 1998;99(1):1–7

PII: S1443-9506(06)00079-5

doi: 10.1016/j.hlc.2006.03.013

Heart, Lung and Circulation
Volume 15, Issue 4 , Pages 256-260 , August 2006

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