British Journal of Anaesthesia, Vol 84, Issue 2 226-235, Copyright © 2000 by Oxford University Press
JG Jones and CA Wardrop
Clinical studies to assess the benefits of blood transfusion or
haemodilution in critical illness should take account of measured CBV
before, during and after intervention. As mentioned above, surrogate
measures of CBV are inadequate and studies based on these must be
considered incomplete, because they cannot distinguish between effects of
changes in haemoglobin concentration and changes in blood volume. The
choice of a suitable technique for measuring CBV depends on the facilities
available locally. In general, methods based on labelled red cells are more
reliable but are technically demanding and time consuming. Those based on
albumin are likely to yield false high values and this is particularly true
in all patients with impaired capillary integrity. The most promising
plasma marker is hydroxyethyl starch which may be particularly useful when
the polysaccharide is labelled with a fluorescent dye. Attaching
fluorescein to hydroxyethyl starch is not difficult and, should demand be
sufficient, it may well become available from manufacturers who are already
capable of providing other fluorescent polysaccharides. The clinical
benefits of such a development would include more rational schedules of
i.v. fluid and blood transfusion management in surgical and intensive care
patients.
ARTICLES
Measurement of blood volume in surgical and intensive care practice
School of Biological Sciences, Cardiff University, UK.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  S Hosono, H Mugishima, H Fujita, A Hosono, T Okada, S Takahashi, N Masaoka, and T Yamamoto Blood pressure and urine output during the first 120 h of life in infants born at less than 29 weeks' gestation related to umbilical cord milking Arch. Dis. Child. Fetal Neonatal Ed., September 1, 2009; 94(5): F328 - F331. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Hoff, G. Rinkel, B. Verweij, A. Algra, and C. Kalkman Blood Volume Measurement to Guide Fluid Therapy After Aneurysmal Subarachnoid Hemorrhage: A Prospective Controlled Study Stroke, July 1, 2009; 40(7): 2575 - 2577. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. M. Takanishi, M. Yu, F. Lurie, E. Biuk-Aghai, H. Yamauchi, H. C. Ho, and A. D. Chapital Peripheral Blood Hematocrit in Critically Ill Surgical Patients: An Imprecise Surrogate of True Red Blood Cell Volume Anesth. Analg., June 1, 2008; 106(6): 1808 - 1812. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Jacob, P. Conzen, U. Finsterer, A. Krafft, B. F. Becker, and M. Rehm Technical and physiological background of plasma volume measurement with indocyanine green: a clarification of misunderstandings J Appl Physiol, March 1, 2007; 102(3): 1235 - 1242. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Johannes, E. G. Mik, B. Nohe, K. E. Unertl, and C. Ince Acute decrease in renal microvascular PO2 during acute normovolemic hemodilution Am J Physiol Renal Physiol, February 1, 2007; 292(2): F796 - F803. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. G. Loubser and A. Chan Prediction of the effect of acute normovolemic hemodilution on the hematological constituents of sequestered autologous whole blood. Anesth. Analg., April 1, 2006; 102(4): 991 - 997. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Aladangady, S. McHugh, T. C. Aitchison, C. A. J. Wardrop, and B. M. Holland Infants' Blood Volume in a Controlled Trial of Placental Transfusion at Preterm Delivery Pediatrics, January 1, 2006; 117(1): 93 - 98. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W.-D. Mi, H. Ishihara, T. Sakai, and A. Matsuki Possible Overestimation of Indocyanine Green-Derived Plasma Volume Early After Induction of Anesthesia with Propofol/Fentanyl Anesth. Analg., November 1, 2003; 97(5): 1421 - 1427. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Ishihara, H. Okawa, T. Iwakawa, N. Umegaki, T. Tsubo, and A. Matsuki Does Indocyanine Green Accurately Measure Plasma Volume Early After Cardiac Surgery? Anesth. Analg., April 1, 2002; 94(4): 781 - 786. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Stephan, A. Flahault, N. Dieudonne, J. Hollande, F. Paillard, and F. Bonnet Clinical evaluation of circulating blood volume in critically ill patients--contribution of a clinical scoring system{{dagger}} Br. J. Anaesth., June 1, 2001; 86(6): 754 - 762. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Suzuki, H. Ishihara, H. Okawa, T. Tsubo, and A. Matsuki Can Initial Distribution Volume of Glucose Predict Hypovolemic Hypotension After Radical Surgery for Esophageal Cancer? Anesth. Analg., May 1, 2001; 92(5): 1146 - 1151. [Abstract] [Full Text] [PDF]
|
|