Influence of a new hydroxyethylstarch preparation (HES 130/ 0.4) on coagulation in cardiac surgical patients.
Note that volumes of Gelatine and Starch required to maintain CVP are no different between two groups, suggesting that the two solutions are equally effective as plasma volume expanders. However, study has little statistical power with regards to volumes of fluids administered, blood loss or blood/blood product usage. – M. Mythen.
Hypotensive resuscitation using a polymerized bovine hemoglobin-based oxygen-carrying solution (HBOC-201) leads to reversal of anaerobic metabolism.
Interesting article evaluating the place of a hemoglobin-based oxygen-carrying solution in the resuscitation of severe hemorrhagic shock. – P. Van der Linden.
First results of tonsillectomy with the ultrasonic scalpel (Ultracision Harmonic Scalpel)((R)).
The authors have shown us that modern surgical tools can be used effectively in common operations not typically associated with blood loss. However, when bleed does occur in tonsillectomy, it can be difficult to control. This approach is another step forward in increasing patient safety. – R. K. Spence.
Comparison between 1-hour and 24-hour drain clamping using diluted epinephrine solution after total knee arthroplasty.
Another paper concerning the use of drains in total knee arthroplasty. Not a large number of cases, but interesting comments on the ongoing controversy, i. e., Should drains be used at all? Should the blood be reinfused? How much? When? Allogeneic transfusion should normally be needed in less than 10% of primary TKA’s. – P. […]
Noninvasive monitoring in the pediatric intensive care unit.
Nice comprehensive review of non-invasive monitoring in Critical Care. As the equipment becomes more reliable and specific, it would help the future “virtual intensivist”. – A. Shander.
Usefulness of cord-blood harvesting for autologous transfusion in surgical newborns with antenatal diagnosis of congenital anomalies.
In connection with this study, one may wonder how often, in those children needing blood transfusions, the volume of cord blood collected will be sufficient to avoid allogeneic transfusions. Besides, the risk of bacteria contamination is clearly higher than the risk associated with allogeneic blood, particularly under routine conditions. – V. Kretschmer.
Coronary artery bypass grafting surgery without the routine application of blood products: is it feasible?
The results of this study are rather surprising. The control group receiving FFP required significantly more red cell concentrates (RBCs). One of the reasons explaining this could be that the patients did not benefit from the FFP because it was not indicated. Besides, an “educational effect” may have influenced surgery and the indication of RBC […]
Liver resections with or without pedicle clamping.
The authors demonstrate in a well-thought-out study what we have all suspected based on trauma experience: that temporary clamping of the hepatic pedicle, or the Pringle manouver, can reduce blood loss and the need for transfusion without jeopardizing the patient. – R. K. Spence.
Hepatocellular carcinoma: Long-term results of combined treatment with laser thermal ablation and transcatheter arterial chemoembolization.
As the epidemic of hepatitis C-related liver disease slowly surfaces, physicians will be faced with the need to devise safe and effective ways other than liver resection and/or transplantation of treating patients with hepatocellular carcinoma. Pacella and colleagues show us how to effectively employ new technologies and minimally-invasive approaches in a collaborative effort that achieved […]
The effects of hydroxyethyl starches of varying molecular weights on platelet function.
This article is of interest in clinical decision-making related to starches usage. However, its interest is even higher for researchers in the field of volume replacement. – M. Mythen.
Hemostatic changes in patients receiving hydroxyethyl starch: The influence of ABO blood group.
This article is of interest in clinical decision-making related to starches usage. However, its interest is even higher for researchers in the field of volume replacement. – M. Mythen.
Percutaneous microwave coagulation therapy for superficial hepatocellular carcinoma using intraperitoneal infusion of local anesthetic.
Ohmoto and Yamamoto are to be congratulated for demonstrating another step forward in the minimally-invasive approach to the treatment of hepatic lesions that traditionally required an open liver resection with its attendant blood loss and morbidity. – R. K. Spence.
2nd Annual NATA Symposium
Berlin, Germany, April 23-24, 2001
1st Annual NATA Symposium
Barcelona, Spain, January 31-February 1, 2000
