Use of albumin, blood transfusion and intraoperative glucose by APA and ADARPEF members: a postal survey

Abstract

The response rate of the survey was 38% and 25% for APA and ADARPEF members, respectively. Forty-one percent of APA members reported a reduced use of albumin containing solutions following the publication of the Cochrane report compared to eight percent in the ADARPEF group (P < 0.0001). Albumin continues to be the most frequently used plasma expander in premature babies and neonates, whereas many colleagues use alternative colloids in infants and older children. A clear difference was observed in the 1-12-year-old age group between APA members favouring the use of gelatines and ADARPEF members who instead frequently use hetastarch solutions. ADARPEF members appeared to have a slightly more restrictive attitude towards blood transfusion and also reported more widespread use of erythropoetin (56% versus 9%, P < 0.0001) and predilution techniques (40% versus 23%, P < 0.04) compared with APA members. Regarding intraoperative maintenance solutions, a large proportion of both APA and ADARPEF members still use high concentrations of glucose intraoperatively, even in older children.

Evaluation of Serum Albumin Utilization in Inpatient at a Private Hospital in Bangkok

“…1) Besides using as plasma expander, there are several indications of serum albumin for in travenous administration. The common indications are shock, hypovolemia, hyperbilirubinemia, ascite, transient hypoalbuminemia, cerebral edema, acute nephrosis and malnutrition.…”

“…1,6) In Thailand, there is no specic guideline for the use of serum albumin resulting in an improper use. The objective of this study is to evaluate the serum al bumin utilization in inpatient at one private hospital in Bangkok.…”

Physiology of the Developing Kidney: Fluid and Electrolyte Homeostasis and Therapy of Basic Disorders (Na/H2O/K/Acid Base)

“…Rather, repetitive infusions of large volumes of crystalloid seem to be well tolerated in volume-depleted children, do not seem to predispose to excessive rates of acute respiratory distress syndrome or cerebral edema, and in some conditions, such as sepsis, play an important role in improved survival [141]. A recent survey of pediatric anesthesiologists in Western Europe reported that colloid solutions are being used less frequently in infants and older children and suggested that familiarity with some of the issues raised in these systematic reviews are affecting practice patterns [142].…”

Anästhesiologische Aspekte in der Neu- und Frühgeborenenchirurgie

“…Zusätzlich werden bei Kreislaufinstabilität Flüssigkeitsmengen bis zu 150 ml* h −1 *kgKG −1 ·benötigt. Vorzugsweise werden diese Flüssigkeiten mindestens z. T. als kolloidale Lösungen -im angelsäch-sischen und französischsprachigen Raum zumeist 5ige Albuminlösung -als Bolus von 10-20 ml*kgKG −1 verabreicht [63]. Vorsicht ist bei natriumarmen Lösungen geboten.…”