Comparative study of limited intentional normovolaemic haemodilution in patients with left main coronary artery stenosis.

Abstract:

:Intentional normovolaemic haemodilution is a blood saving technique which can be performed when major blood loss is expected. Severe coronary artery disease and particularly left main stenosis are considered a contraindication for intentional normovolaemic haemodilution. The effects and complications of limited intentional normovolaemic haemodilution in patients with left main coronary artery stenosis scheduled for coronary artery bypass grafting were evaluated. Patients were randomly allocated to two groups: group A (n = 15) underwent limited intentional normovolaemic haemodilution to a haematocrit of 34%; group B (n = 15), no intentional normovolaemic haemodilution was performed. In both groups succinyl-linked gelatin was used to maintain normovolaemia. Haemodynamic parameters were kept as constant as possible. In group A, a mean (SD) volume of 785 (250) ml of blood was withdrawn [range 500-1200 ml]. ST segment changes occurred on the ECG in three patients in each group. There were no statistically significant differences for frequency, maximum deflection and duration of ST-segment changes. Limited intentional normovolaemic haemodilution can be performed safely in patients with left main coronary artery stenosis. In this study it was not associated with increased frequency, severity or duration of ST-segment changes, or with arrhythmias or haemodynamic instability.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Herregods L,Foubert L,Moerman A,François K,Rolly G

doi

10.1111/j.1365-2044.1995.tb05926.x

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

950-3

issue

11

eissn

0003-2409

issn

1365-2044

journal_volume

50

pub_type

临床试验,杂志文章,随机对照试验
  • Buscopan for the treatment of pain after laparoscopic sterilisation.

    abstract::We investigated the effect of Buscopan 20 mg, given at the end of surgery, on analgesic requirements in 44 ASA I and II patients presenting as day cases for laparoscopic sterilisation using Filshie clips. Patients were randomly allocated to receive either intravenous Buscopan 20 mg or saline placebo at the end of surg...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2001.01528-2.x

    authors: Habib A,Sharpe P,Anderson S,Francis S,Davidson AC,Smith G

    更新日期:2001-02-01 00:00:00

  • Nifedipine and surgical removal of phaeochromocytoma.

    abstract::The management of five patients with phaeochromocytoma undergoing surgical removal is described. Pre-operative preparation with phenoxybenzamine and nifedipine for 7 days before surgery prevented excessive fluctuations in cardiovascular parameters in the peri-operative period and resulted in an uneventful recovery. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05761.x

    authors: Chari P,Katariya RN,Venkataraman RK,Trikha A

    更新日期:1988-09-01 00:00:00

  • Postdural puncture symptoms in a child.

    abstract::An 11-year-old boy suffered an inadvertent dural puncture during placement of an epidural catheter for postoperative analgesia. He developed symptoms of mild headache only, but severe and protracted orthostatic nausea and dizziness, which eventually resolved completely following epidural blood patch. His symptoms were...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.az0158b.x

    authors: McHale J,O'Donovan FC

    更新日期:1997-07-01 00:00:00

  • Oxytocin at elective caesarean delivery: a dose-finding study in women with obesity.

    abstract::Prophylactic oxytocin administration at the third stage of labour reduces blood loss and the need for additional uterotonic drugs. Obesity is known to be associated with an increased risk of uterine atony and postpartum haemorrhage. It is unknown whether women with obesity require higher doses of oxytocin in order to ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15322

    authors: Peska E,Balki M,Maxwell C,Ye XY,Downey K,Carvalho JCA

    更新日期:2020-11-23 00:00:00

  • The incidence of post dural puncture headache in children.

    abstract::One hundred and five children with malignant disease attended for lumbar puncture which was performed under general anaesthesia. A questionnaire was answered over the next three days to determine the incidence of post dural puncture headache Ninety-seven questionnaires were returned and the results show that no child ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1996.tb15061.x

    authors: Wee LH,Lam F,Cranston AJ

    更新日期:1996-12-01 00:00:00

  • Rhabdomyolysis and operating position.

    abstract::Rhabdomyolysis during routine surgery was studied in three groups of patients who had surgery, with limited trauma to muscle, in the lateral and supine positions, and prone on the spinal frame. A range of blood tests was performed (before surgery, and on the first, third and seventh day after operation). These showed ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09362.x

    authors: Targa L,Droghetti L,Caggese G,Zatelli R,Roccella P

    更新日期:1991-02-01 00:00:00

  • Hypotension, subarachnoid block and the elderly patient.

    abstract::This article reviews the current literature on the management of hypotension during subarachnoid block in the elderly. Hypotension results from blockade of the sympathetic nervous system, which causes decreases in both systemic vascular resistance and cardiac output. Abolition of normal cardiovascular reflexes is also...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1996.tb15051.x

    authors: Critchley LA

    更新日期:1996-12-01 00:00:00

  • Use of the fibreoptic intubating LMA-CTrach in two patients with difficult airways.

    abstract::We report two patients with difficult airways who underwent tracheal intubation using the new fibreoptic intubating Laryngeal Mask Airway CTrach. The imaging technology of the LMA-CTrach was decisive in the management of these two patients. The first patient had lingual tonsillar hyperplasia, and an omega-shaped retro...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2006.04660.x

    authors: Goldman AJ,Rosenblatt WH

    更新日期:2006-06-01 00:00:00

  • Predictors of postoperative myocardial ischaemia. The role of intercurrent arterial hypertension and other cardiovascular risk factors.

    abstract::One hundred and eighty-three patients were studied to examine the role of a number of risk factors in the development of silent ischaemia after general anaesthesia for general and vascular surgery. We collected evidence of cardiovascular risk factors using a binary questionnaire. The patients were monitored pre- and p...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.29-az029.x

    authors: Howell SJ,Hemming AE,Allman KG,Glover L,Sear JW,Foëx P

    更新日期:1997-02-01 00:00:00

  • The effect of pre-emptive acupuncture treatment on analgesic requirements after day-case knee arthroscopy.

    abstract::The role of acupuncture analgesia in the management of postoperative pain is yet to be clearly evaluated. We conducted a prospective, double-blind, randomised controlled study to evaluate the effect of acupuncture pretreatment on the analgesic requirement after knee arthroscopy. Forty-two patients presenting for unila...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1999.01030.x

    authors: Gupta S,Francis JD,Tillu AB,Sattirajah AI,Sizer J

    更新日期:1999-12-01 00:00:00

  • Effect of epidural block on the lag time of pulse oximeter response.

    abstract::Thirty-six healthy patients, ASA 1, aged 16-41 years, scheduled for elective plastic surgery were studied to determine if thoracocervical or lumbar epidural blocks affected the lag time of the pulse oximeter response. Patients were allocated to receive thoracocervical epidural block (n = 20) (group 1) (lignocaine 1%) ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1996.tb15041.x

    authors: Xue FS,Liao X,Tong SY,Liu QH,An G,Luo LK

    更新日期:1996-12-01 00:00:00

  • An international consensus statement on the management of postoperative anaemia after major surgical procedures.

    abstract::Despite numerous guidelines on the management of anaemia in surgical patients, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in the postoperative period. A number of experienced researchers and clinicians took part in a two-day expert workshop and developed the followin...

    journal_title:Anaesthesia

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1111/anae.14358

    authors: Muñoz M,Acheson AG,Bisbe E,Butcher A,Gómez-Ramírez S,Khalafallah AA,Kehlet H,Kietaibl S,Liumbruno GM,Meybohm P,Rao Baikady R,Shander A,So-Osman C,Spahn DR,Klein AA

    更新日期:2018-11-01 00:00:00

  • Low pressure leakage in anaesthetic machines. Evaluation by positive and negative pressure tests.

    abstract::Positive and negative pressure tests for checking the low pressure section of 36 anaesthetic machines in order to detect gas leaks were prospectively compared. The low pressure section was checked by the soap bubble test as a 'gold standard'. The leakage rate was 86.1%. The sensitivity and specificity of the positive ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb07792.x

    authors: Somprakit P,Soontranan P

    更新日期:1996-05-01 00:00:00

  • Comparison of remifentanil with alfentanil or suxamethonium following propofol anaesthesia for tracheal intubation.

    abstract::Sixty ASA physical status I and II, premedicated patients were administered propofol 2 mg x kg-1 and remifentanil 2 microg x kg-1 (group R), alfentanil 50 microg x kg-1 (group A) or suxamethonium 1 mg x kg-1 (group S) as a rapid bolus. One minute after study drug administration, tracheal intubation was performed. Intu...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1999.01070.x

    authors: Alexander R,Booth J,Olufolabi AJ,El-Moalem HE,Glass PS

    更新日期:1999-11-01 00:00:00

  • Pulmonary function tests before and after laparoscopic cholecystectomy.

    abstract::Pulmonary function tests were performed in 22 patients undergoing laparoscopic cholecystectomy. Measurements were made before, 24 h after, and 6 weeks after operation (12 patients). At 24 h postoperatively there were significant decreases in forced expiratory volume in 1 s, vital capacity, functional residual capacity...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1994.tb14223.x

    authors: Freeman JA,Armstrong IR

    更新日期:1994-07-01 00:00:00

  • Subcutaneous tissue oxygen tension after coronary revascularisation with and without cardiopulmonary bypass.

    abstract::Directly measured subcutaneous tissue oxygen tension reflects the adequacy of regional tissue oxygenation and influences wound infection and healing. We tested the hypothesis that off-pump coronary artery bypass would increase subcutaneous tissue oxygen tension by minimizing cardiopulmonary bypass-induced systemic inf...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2004.03608.x

    authors: Cody C,Buggy DJ,Marsh B,Moriarity DC

    更新日期:2004-03-01 00:00:00

  • The effects of thiopentone and propofol on delayed hypersensitivity reactions.

    abstract::The effects of thiopentone and propofol on delayed hypersensitivity reactions and T lymphocyte proliferation were studied in nine healthy volunteers (five women and four men). Thiopentone 5 mg.kg-1 and propofol 2.5 mg kg-1 were given as a 10 min infusion on two separate occasions. The volunteers were exposed to a skin...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1995.tb06037.x

    authors: Devlin EG,Clarke RS,Mirakhur RK,McNeill TA

    更新日期:1995-06-01 00:00:00

  • Relationship between the inability to climb two flights of stairs and outcome after major non-cardiac surgery: implications for the pre-operative assessment of functional capacity.

    abstract::Functional capacity is an integral component of the pre-operative evaluation of the cardiac patient for non-cardiac surgery. Stair climbing capacity has peri-operative prognostic importance. It may predict survival after lung resection and complications after major non-cardiac surgery. However, stair climbing cannot d...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2005.04181.x

    authors: Biccard BM

    更新日期:2005-06-01 00:00:00

  • Propofol sedation after open heart surgery. A clinical and pharmacokinetic study.

    abstract::One hundred adult patients who required mechanical ventilation after open heart surgery for coronary revascularisation were studied. All received a standard premedication and a high dose opioid anaesthetic. On arrival in the intensive care unit they were allocated randomly to receive either propofol or midazolam to ma...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1990.tb14743.x

    authors: McMurray TJ,Collier PS,Carson IW,Lyons SM,Elliott P

    更新日期:1990-04-01 00:00:00

  • Interaction of arousal states and low dose halothane on the acute hypercapnic ventilatory response in humans.

    abstract::The purpose of this study was to examine the effect of low dose halothane on the acute ventilatory response to hypercapnia, and to assess whether arousal (due to audiovisual (AV) stimulation or pain) modulates the response to halothane. Single step increases in end-tidal Pco(2) using dynamic end-tidal forcing were per...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2004.04037.x

    authors: Pandit JJ,Moreau B

    更新日期:2005-02-01 00:00:00

  • Time course of action of combinations of vecuronium and pancuronium.

    abstract::Vecuronium 0.1 mg/kg, pancuronium 0.1 mg/kg, vecuronium 0.075 mg/kg + pancuronium 0.025 mg/kg, vecuronium + pancuronium 0.05 mg/kg each and vecuronium 0.025 mg/kg + pancuronium 0.075 mg/kg were compared with respect to time taken to onset of effect, duration of clinical relaxation and intubation conditions in five gro...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb13170.x

    authors: Pandit SK,Ferres CJ,Gibson FM,Mirakhur RK

    更新日期:1986-02-01 00:00:00

  • An unusual complication of emergency tracheal intubation.

    abstract::A 68-year-old woman presented with dyspnoea having undergone a short period of tracheal intubation during an episode of congestive cardiac failure 10 days earlier. On the fourth day of admission, she suddenly developed acute respiratory distress followed by a cardiac arrest and was found to have an enlarging neck mass...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.72-az0069.x

    authors: Ooi GC,Irwin MG,Lam LK,Cheng SW

    更新日期:1997-02-01 00:00:00

  • Laryngeal mask airway and tracheal tube cuff pressures in children: are clinical endpoints valuable for guiding inflation?

    abstract::We prospectively assessed common clinical endpoints for their usefulness in avoiding hyperinflation of the cuffs of laryngeal mask airways (slight outward movement) and tracheal tubes (disappearance of an audible leak around the cuff during manual ventilation < 20 cm H(2)O) in 640 children. Cuff pressures were measure...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2008.05486.x

    authors: Ong M,Chambers NA,Hullet B,Erb TO,von Ungern-Sternberg BS

    更新日期:2008-07-01 00:00:00

  • Ethamsylate and blood loss in total hip replacement.

    abstract::Nineteen consecutive patients undergoing total hip replacement under epidural anaesthesia were randomly divided into two groups. The treatment group received 1000 mg of ethamsylate intravenously before induction of anaesthesia. Blood lost during surgery was measured by a colorimetric technique. Closed suction drains w...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1979.tb06368.x

    authors: Keith I

    更新日期:1979-07-01 00:00:00

  • Profound hypocalcaemia in a patient being anticoagulated with citrate for continuous renal replacement therapy.

    abstract::Citrate, as an anticoagulant for continuous renal replacement therapy in critically ill patients, has some potential advantages over heparin, including a prolonged dialysis filter life and reduced risk of bleeding. The key parameter involved in monitoring the adequacy and safety of citrate anticoagulation during conti...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.06078.x

    authors: Morgan DJ,Ho KM

    更新日期:2009-12-01 00:00:00

  • AIDS in ICUs: outcome.

    abstract::The admission of patients with acquired immune deficiency syndrome (AIDS) to intensive care units in the United Kingdom was surveyed in January 1986. Ninety-three intensive care units completed the questionnaire. Thirty-two patients had been admitted to 12 units up to that time. Twenty-five (78%) of these patients had...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05487.x

    authors: Deam R,Kimberley AP,Anderson M,Soni N

    更新日期:1988-02-01 00:00:00

  • An objective assessment of nerve stimulators used for peripheral nerve blockade*.

    abstract::Nerve stimulation is considered by many to be the current 'gold standard' for locating peripheral nerves. Thirteen nerve stimulators were subjected to a battery of tests performed by two independent observers under standardised conditions using a digital oscilloscope, a calibrated resistance and a novel scoring system...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2006.04645.x

    authors: Jochum D,Iohom G,Diarra DP,Loughnane F,Dupré LJ,Bouaziz H

    更新日期:2006-06-01 00:00:00

  • The effect of celecoxib on intrathecal morphine-induced pruritus in patients undergoing Caesarean section.

    abstract::Pruritus associated with intrathecal opioid administration is particularly common in pregnancy. Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce the severity of this pruritus but have undesirable side effects. The recent development of drugs that can specifically inhibit the cyclooxygenase 2 isoenzyme have bec...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2004.03797.x

    authors: Lee LH,Irwin MG,Lim J,Wong CK

    更新日期:2004-09-01 00:00:00

  • Patient-controlled epidural analgesia with sufentanil following caesarean section: the effect of adrenaline and clonidine admixture.

    abstract::Sixty patients, scheduled for Caesarean section were randomly allocated to receive by the epidural route in a double-blind fashion one of the following patient-controlled analgesia mixtures for the relief of postoperative pain: sufentanil 2 micrograms.ml-1 in 0.9% sodium chloride, sufentanil 2 micrograms.ml-1 + adrena...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb04447.x

    authors: Vercauteren MP,Vandeput DM,Meert TF,Adriaensen HA

    更新日期:1994-09-01 00:00:00

  • The Triservice anaesthetic apparatus.

    abstract::The Triservice anaesthetic apparatus is a draw-over using ambient air as the primary carrier gas. Its modules are a self-inflating bag, a vaporiser, a supplementary oxygen regulator and a ventilator; each is described. The outputs of halothane and trichloroethylene were measured with changes of temperature, continuous...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb08696.x

    authors: Houghton IT

    更新日期:1981-12-01 00:00:00