Acute Normovolemic Hemodilution in Cardiac Surgery

Summary A 16‐year‐old Clydesdale gelding underwent oral extraction of tooth 210 under standing sedation with partial resection of the left ventral concha under general anaesthesia 4 days later. Due to the highly vascular nature of the surgical site, significant intraoperative haemorrhage was anticipated. A lack of compatible donor horses confirmed by crossmatching prompted an autologous donation of 6 l of blood and acute normovolaemic haemodilution using a gelatine solution immediately prior to surgery. Intraoperative haemorrhage was estimated at 5% circulating volume and autologous transfusion was commenced once haemostasis was confirmed. The horse recovered uneventfully from general anaesthesia and surgery. To our knowledge this is the first report of acute normovolaemic haemodilution used in a clinical equine case.

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Blood Conservation in Cardiac Surgery

Anderson

2010

Journal of Perioperative Practice

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Cardiac surgery is one of the largest users of blood and blood products--currently estimated at 15% of U.K. blood stocks. While the blood supply could be considered to be the safest it has ever been, there are well recognised risks associated with the transfusion of red cells and blood products. It is appropriate that attempts should be made to decrease and optimise the transfusion of blood and blood products.

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Acute Normovolemic Hemodilution in Cardiac Surgery

Abstract: Acute normovolemic hemodilution (ANH),ANH has a place cardiac surgery but should rather be regarded as an integral part of a blood conservation strategy tailored to the patient's needs and adapted to specific surgical procedures.

Cited by 3 publications

References 82 publications

Acute Normovolemic Hemodilution

Acute Normovolemic Hemodilution

Acute normovolaemic haemodilution in a Clydesdale gelding prior to partial resection of the left ventral concha under general anaesthesia

Blood Conservation in Cardiac Surgery

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