Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | miercuri, 20 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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ACUTE NORMOVOLEMIC ANEMIA: PHYSIOLOGICAL AND PRACTICAL CONCERNS
P. Van der Linden
Department of Anesthesiology, CHU Brugmann, Brussels, Belgium
Jurnalul de chirurgie 2007; 3 (3):230-237
Full text: PDF Format (Engleza/English)

Abstract:

The adequacy of a hemoglobin concentration in a given clinical situation depends on whether a sufficient amount of oxygen is carried to the tissues to meet metabolic requirements. Therefore, the decision to transfuse a given patient cannot be based only on the hemoglobin level. Rather, rigid adherence to an arbitrarily predefined transfusion threshold will result in the over-transfusion of some patients, but also in the under-transfusion of others. A better knowledge of the physiologic responses developed during acute isovolemic anemia and the clinical factors that can limit the ability of the organism to maintain adequate tissue oxygenation in these situations, will allow the clinician to better define the transfusion trigger for each patient. This paper reviews the physiological and clinical factors of acute isovolemic anemia and presents the therapeutic options available.


KEY WORDS: NORMOVOLEMIC ANEMIA, PHYSIOLOGY, OXYGEN CONSUMPTION, TRANSFUSION

Correspondence to: Prof. Philippe Van der Linden, MD, PhD; CHU Brugmann - HUDERF, 4 Place Van Gehuchten, B-1020 Brussels, Belgium. e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.