Effect of progressive haemodilution with hydroxyethyl starch, gelatin and albumin on blood coagulation.

Abstract:

:We have compared the effects of progressive (30% and 60%) in vitro haemodilution with hydroxyethyl starch (HES), gelatin (GEL) and albumin (ALB) with haemodilution using 0.9% saline in 96 patients by thrombelastography. Haemodilution with HES, GEL and ALB significantly (P < 0.05) compromised coagulation time (k), angle alpha and maximal amplitude (MA), with HES having the most negative effect at 30% and 60% haemodilution (P < 0.05). Haemodilution with saline significantly affected all variables of blood coagulation and clot lysis measured by thrombelastography, resulting in an increased coagulability at 30% haemodilution. To specifically assess the intrinsic effect of plasma expander molecules on blood coagulation and clot lysis, we analysed the difference between saline diluted blood (same degree of haemodilution) and plasma expander diluted blood. Prolongation of reaction time (r) was found for HES at 30% and 60% haemodilution and for ALB at 60% haemodilution and an increase in clot lysis by HES, GEL and ALB became evident. We conclude that HES, GEL and ALB compromised blood coagulation, while the maximum effect was found with HES.

journal_name

Br J Anaesth

authors

Egli GA,Zollinger A,Seifert B,Popovic D,Pasch T,Spahn DR

doi

10.1093/bja/78.6.684

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

684-9

issue

6

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)39936-1

journal_volume

78

pub_type

杂志文章
  • Differential B and C fibre block by an amide- and an ester-linked local anaesthetic.

    abstract::The relative sensitivity of sympathetic preganglionic and postganglionic axons, B and C fibres, respectively, to two structurally dissimilar local anaesthetics was examined. The concentration of amethocaine (ester-linked tertiary amine) or prilocaine (amide-linked secondary amine) required to reduce the B fibre compou...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/47.11.1135

    authors: Scurlock JE,Heavner JE,de Jong RH

    更新日期:1975-11-01 00:00:00

  • Performance assessment of a fuzzy controller for atracurium-induced neuromuscular block.

    abstract::The performance of a fuzzy controller for atracurium-induced neuromuscular block was assessed. Ten ASA I or II patients undergoing surgery anticipated to last at least 120 min were studied. A Datex Relaxograph was used to monitor neuromuscular block. Initially the T1 set point was set at 10% of baseline for at least 3...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/76.3.396

    authors: Mason DG,Edwards ND,Linkens DA,Reilly CS

    更新日期:1996-03-01 00:00:00

  • Abnormal pupillary activity in a brainstem-dead patient.

    abstract::The pupils in brainstem-dead patients are classically fixed and dilated. We present a case of a brainstem-dead patient whose pupils displayed persistent asynchronous pupillary constriction and dilatation independent of external physical stimuli. Central causes for the phenomenon were excluded leaving an unexplained pe...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/86.5.717

    authors: Shlugman D,Parulekar M,Elston JS,Farmery A

    更新日期:2001-05-01 00:00:00

  • A physiological model of induction of anaesthesia with propofol in sheep. 1. Structure and estimation of variables.

    abstract::We describe a six-compartment physiological model of the kinetics and dynamics of induction of anaesthesia with propofol in sheep. It includes a faithful description of initial bolus kinetics caused by accurate representations of the inter-relationships between initial vascular mixing, lung kinetics and cardiac output...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/79.4.497

    authors: Upton RN,Ludbrook GL

    更新日期:1997-10-01 00:00:00

  • Synergistic interaction between midazolam and propofol.

    abstract::We gave either midazolam or propofol for induction of anaesthesia to 140 ASA I or II female patients (18-60 yr). ED50 values were obtained by probit analysis for three clinical end-points: loss of response to command; loss of eyelash reflex; failure to respond to application of an anaesthetic face mask delivering 1% i...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/69.3.240

    authors: McClune S,McKay AC,Wright PM,Patterson CC,Clarke RS

    更新日期:1992-09-01 00:00:00

  • The staircase phenomenon at the corrugator supercilii muscle in comparison with the hand muscles.

    abstract:BACKGROUND:Phonomyography (PMG) is a novel method to monitor neuromuscular block. It is non-invasive and can be applied to any muscle. It can be used interchangeably with mechanomyography (MMG). The staircase phenomenon has not been investigated for this method or at the corrugator supercilii muscle. The purpose of thi...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aei183

    authors: Deschamps S,Trager G,Mathieu PA,Hemmerling TM

    更新日期:2005-09-01 00:00:00

  • Dose-response relationships for neostigmine antagonism of rocuronium-induced neuromuscular block in children and adults.

    abstract::Dose-response relationships for the antagonism of intermediate-acting neuromuscular blocking agents have not been evaluated previously in children. We have examined the dose-response relationships for neostigmine antagonism of 90% rocuronium-induced neuromuscular block in children and adults, during nitrous oxide-1 MA...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/77.6.710

    authors: Abdulatif M,Mowafi H,al-Ghamdi A,el-Sanabary M

    更新日期:1996-12-01 00:00:00

  • Distinct molecular sites of anaesthetic action: pentobarbital block of human brain sodium channels is alleviated by removal of fast inactivation.

    abstract::Fast inactivation of sodium channel function is modified by anaesthetics. Its quantitative contribution to the overall anaesthetic effect is assessed by removing the fast inactivation mechanism enzymatically. Sodium channels from human brain cortex were incorporated into planar lipid bilayers. After incorporation, cha...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/82.1.74

    authors: Wartenberg HC,Urban BW,Duch DS

    更新日期:1999-01-01 00:00:00

  • Use of prothrombin complex concentrate for management of coagulopathy after cardiac surgery: a propensity score matched comparison to plasma.

    abstract:BACKGROUND:An important cause of coagulopathy in cardiac surgery is impaired thrombin generation. While plasma is often used to correct this element of the coagulopathy, studies in vitro suggest that prothrombin complex concentrates (PCCs) might be more effective. Comparative data, however, are scant. METHODS:We compa...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2018.02.017

    authors: Fitzgerald J,Lenihan M,Callum J,McCluskey SA,Srinivas C,van Rensburg A,Karkouti K

    更新日期:2018-05-01 00:00:00

  • Use of alcuronium in patients undergoing renal transplantation.

    abstract::Alcuronium 0.16 mg kg-1 was used to provide neuromuscular blockade in patients with chronic renal failure undergoing renal transplantation. Relaxation was found to be adequate for intubation and surgery. There were minimal alterations to cardiovascular variables. The dose required was small, and complete reversal occu...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/56.11.1229

    authors: Kaushik S,Grover VK,Singh H,Yadav RV

    更新日期:1984-11-01 00:00:00

  • Risk of myocardial ischaemia during anaesthesia in treated and untreated hypertensive patients.

    abstract::Hypertensive patients were monitored for myocardial ischaemia during anaesthesia and surgery with the V5 lead of a standard electrocardiograph. Myocardial ischaemia was detected in 11 of 39 untreated hypertensive patients and in four of seven receiving therapy with a diuretic, but in none of 44 receiving atenolol. Fou...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/61.6.675

    authors: Stone JG,Foëx P,Sear JW,Johnson LL,Khambatta HJ,Triner L

    更新日期:1988-12-01 00:00:00

  • Lipid solubility of pancuronium and vecuronium determined by n-octanol/water partitioning.

    abstract::We have measured the n-octanol/water distribution coefficients at 37 degrees C of two steroidal myoneural blockers (pancuronium and vecuronium) and of their 3-hydroxy metabolites over a pH range from 1.5 to 11. Pancuronium was found not to be lipid soluble. The mean distribution coefficient of 3-hydroxy vecuronium at ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/70.5.579

    authors: Weindlamayr-Goettel M,Gilley H,Sipos E,Steinbereithner K

    更新日期:1993-05-01 00:00:00

  • Sources of error in partial rebreathing pulmonary blood flow measurements in lungs with emphysema and pulmonary embolism.

    abstract:BACKGROUND:Studies of the accuracy of partial rebreathing measurements of pulmonary blood flow (PBF) in patients with abnormal lungs have not fully explained the sources of error. METHODS:We used computer models of emphysema and pulmonary embolism incorporating both ventilation-perfusion (V/Q) and ventilation-volume (...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/ael214

    authors: Yem JS,Turner MJ,Baker AB

    更新日期:2006-11-01 00:00:00

  • Combined use of Bispectral Index and A-Line Autoregressive Index to assess anti-nociceptive component of balanced anaesthesia during lumbar arthrodesis.

    abstract:BACKGROUND:This study evaluated the A-Line Autoregressive Index (AAI) response to surgical stimulation during lumbar arthrodesis, as an estimate of the anti-nociceptive component of a Bispectral Index (BIS) guided anaesthesia combined with epidural analgesia. METHODS:An epidural catheter was inserted in 23 patients al...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/ael004

    authors: Bonhomme V,Llabres V,Dewandre PY,Brichant JF,Hans P

    更新日期:2006-03-01 00:00:00

  • Pancuronium bromide: an indirect sympathomimetic agent.

    abstract::In the dog, pancuronium 0.2 mg/kg increased left ventricular systolic pressure and systemic arterial pressure, but did not change central venous pressure. Repeated doses produced diminishing responses and eventually no change in arterial pressure. After tachyphylaxis was established, a pressor response to pancuronium ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/48.12.1143

    authors: Domenech JS,Garcia RC,Sastain JM,Loyola AQ,Oroz JS

    更新日期:1976-12-01 00:00:00

  • Small dose of exogenous surfactant combined with partial liquid ventilation in experimental acute lung injury: effects on gas exchange, haemodynamics, lung mechanics, and lung pathology.

    abstract::A combination of exogenous surfactant and partial liquid ventilation (PLV) with perfluorocarbons should enhance gas exchange, improve respiratory mechanics and reduce tissue damage of the lung in acute lung injury (ALI). We used a small dose of exogenous surfactant with and without PLV in an experimental model of ALI ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/87.4.593

    authors: Wolf S,Lohbrunner H,Busch T,Sterner-Kock A,Deja M,Sarrafzadeh A,Neumann U,Kaisers U

    更新日期:2001-10-01 00:00:00

  • Sepsis and cytokines: current status.

    abstract::Sepsis is a constellation of clinical signs and symptoms resulting from excessive systemic host inflammatory response to infection. This inflammatory response is largely mediated by cytokines, which are released into the systemic circulation. Plasma concentrations of specific cytokines, TNF alpha, IL-1 beta, IL-6 and ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/77.1.110

    authors: Blackwell TS,Christman JW

    更新日期:1996-07-01 00:00:00

  • Skin conductance monitoring compared with Bispectral Index to assess emergence from total i.v. anaesthesia using propofol and remifentanil.

    abstract:BACKGROUND:Arousal after sevoflurane anaesthesia has been detectable by monitoring changes in skin conductance (SC) with similar accuracy as monitoring Bispectral Index (BIS). As SC monitoring detects changes in sympathetic tone, the measurements might be confounded by the sympatholytic properties of propofol, a compon...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/ael278

    authors: Ledowski T,Bromilow J,Paech MJ,Storm H,Hacking R,Schug SA

    更新日期:2006-12-01 00:00:00

  • Selective depression by alfentanil of group III and IV somatosympathetic reflexes in the dog.

    abstract::The effect of alfentanil on sympathetic reflexes evoked by supramaximal electrical stimulation of the radial nerve has been observed in five dogs anaesthetized with alpha-chloralose, paralysed with suxamethonium and artificially ventilated. In five dogs during the infusion of alfentanil at a rate of 20 micrograms kg-1...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/61.4.441

    authors: Swenzen GO,Chakrabarti MK,Sapsed-Byrne S,Whitwam JG

    更新日期:1988-10-01 00:00:00

  • Haemostatic resuscitation.

    abstract::Recommendations for resuscitation of patients in early haemorrhagic shock, with active ongoing bleeding, have evolved in recent years. This review covers current theories of the pathophysiology of shock and recommended treatments, including damage control surgery, deliberate hypotensive management, administration of a...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aes389

    authors: Dutton RP

    更新日期:2012-12-01 00:00:00

  • Different effects of dopamine and dopexamine on the isolated perfused rat kidney.

    abstract::We have investigated the effect of dopamine and dopexamine on the isolated perfused rat kidney. After an equilibration period of 20 min and two control periods of 10 min, dopexamine 1.0, 2.5 or 4.0 micrograms kg-1 min-1 or dopamine 2.0 micrograms kg-1 min-1 were perfused for a further 40 min in random order. Renal blo...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/83.6.898

    authors: Kirchhoff K,Leuwer M,Thum P,Bornscheuer A,Piepenbrock S

    更新日期:1999-12-01 00:00:00

  • Prevalence and impact of abnormal ROTEM(R) assays in severe blunt trauma: results of the 'Diagnosis and Treatment of Trauma-Induced Coagulopathy (DIA-TRE-TIC) study'.

    abstract:BACKGROUND:ROTEM(®)/TEG(®) (rotational thromboelastometry) assays appear to be useful for the treatment of bleeding trauma patients. However, data on the prevalence and impact of abnormal ROTEM(®) assays are scarce. METHODS:This is a prospective cohort study of blunt trauma patients (Injury Severity Score ≥15 or Glasg...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aer158

    authors: Tauber H,Innerhofer P,Breitkopf R,Westermann I,Beer R,El Attal R,Strasak A,Mittermayr M

    更新日期:2011-09-01 00:00:00

  • Solvent for etomidate may cause pain and adverse effects.

    abstract::We tested the hypothesis that the solvent for etomidate was a factor in the incidence of pain and other side effects after injection, and that these were associated with histamine release. Nine of 10 volunteers who received etomidate in a propylene glycol formulation reported moderate to severe pain on injection; only...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/83.3.464

    authors: Doenicke AW,Roizen MF,Hoernecke R,Lorenz W,Ostwald P

    更新日期:1999-09-01 00:00:00

  • Effect of clonidine on gastric emptying of liquids.

    abstract::We have investigated the effects of clonidine on gastric emptying of liquids in 30 patients. In a double-blind, randomized design, clonidine 150 micrograms, morphine 10 mg or saline in 1 ml was given i.m. One hour later, the patient drank a paracetamol solution (1.5 g in 50 ml water). Venous blood samples were obtaine...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/78.1.28

    authors: Asai T,McBeth C,Stewart JI,Williams J,Vaughan RS,Power I

    更新日期:1997-01-01 00:00:00

  • Enteral absorption and haemodynamic response of clonidine in infants post-cardiac surgery.

    abstract:BACKGROUND:Clonidine is a useful analgesic-sedative agent; however, few data exist regarding its use in infants after congenital heart disease surgery. We thus aimed to assess the absorption and safety of enterally administered clonidine in this setting. METHODS:Sixteen infants (median age 6.7 months) received a singl...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeu258

    authors: Arenas-Lopez S,Mulla H,Manna S,Durward A,Murdoch IA,Tibby SM

    更新日期:2014-12-01 00:00:00

  • Zomepirac, dihydrocodeine and placebo compared in postoperative pain after day-case surgery. The relationship between the effects of single and multiple doses.

    abstract::Zomepirac 100 mg and dihydrocodeine 30 mg were compared with placebo in a controlled randomized, double-blind, single-dose postoperative study. Patients continued to receive either zomepirac or dihydrocodeine for pain relief for 5 days at home in a double-blind study, being allowed to titrate the consumption of tablet...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/57.4.412

    authors: McQuay HJ,Bullingham RE,Moore RA,Carroll D,Evans PJ,O'Sullivan G,Collin J,Lloyd JW

    更新日期:1985-04-01 00:00:00

  • Effect of renal failure on laudanosine excretion in man.

    abstract::Patients with renal failure and undergoing a cadaver renal transplant were found to have plasma concentrations of laudanosine, following the administration of a single bolus dose of atracurium 0.5 mg kg-1, higher than those found in patients without renal failure. Since laudanosine is a known central nervous system st...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/57.11.1049

    authors: Fahey MR,Rupp SM,Canfell C,Fisher DM,Miller RD,Sharma M,Castagnoli K,Hennis PJ

    更新日期:1985-11-01 00:00:00

  • Bronchial blockers under pressure: in vitro model and ex vivo model.

    abstract:BACKGROUND:Pressures (Pe) exerted by bronchial blockers on the inner wall of the bronchi may cause mucosal ischaemia. Our aims were as follows: (i) to compare the intracuff pressure (Pi) and Pe exerted by commercially available bronchial blockers in an in vitro and an ex vivo model; (ii) to investigate the influence of...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aew120

    authors: Carassiti M,Mattei A,Pizzo CM,Vallone N,Saccomandi P,Schena E

    更新日期:2016-09-01 00:00:00

  • Effect of airway occlusion on respiratory timing during anaesthesia with enflurane or halothane.

    abstract::Eighteen patients were studied, during operations under subarachnoid or extradural anaesthesia combined with general anaesthesia, to assess the influence of occlusion of inspiration on the duration of inspiration, and the likelihood of a relationship between lung volume and duration of inspiration. Ten patients breath...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/56.3.215

    authors: Drummond GB

    更新日期:1984-03-01 00:00:00

  • Circadian distribution of sleep phases after major abdominal surgery.

    abstract:BACKGROUND:It is believed that the severely disturbed night-time sleep architecture after surgery is associated with increased cardiovascular morbidity with rebound of rapid eye movement (REM). The daytime sleep pattern of patients after major general surgery has not been investigated before. We decided to study the ci...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aem340

    authors: Gögenur I,Wildschiøtz G,Rosenberg J

    更新日期:2008-01-01 00:00:00