© The Board of Management and Trustees of the British Journal of Anaesthesia 2004
CORRESPONDENCE |
Hydroxyethyl starch and Gelofusine on pulmonary function in patients undergoing abdominal aortic aneurysm surgery
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EditorWe read with interest the study by Rittoo and colleagues.1 The authors compared the effects of hydroxyethyl starch (HES) and Gelofusine on pulmonary function in aortic aneurysm surgery.
Microalbuminuria was one of the variables used in this study to measure the degree of vascular permeability. Microalbuminuria is non-specific and is known to occur after anaesthesia and surgery.2 3 Did microalbuminuria in these patients correspond to other measures of lung injury? These data are not reported.
Plasma elastase is another variable used to assess lung injury. Although it is specific for neutrophil activity, it can increase after red blood cell and cell saver blood transfusion.4 5 In this study, the patients received both red blood cell transfusion and
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