Case in which massive hydroxyethylated starch (HES) infusion was useful for massive hemorrhage in spite of progressive hemodilution].

A 72-year-old man with no internal complication underwent total prostatectomy. During operation, massive hemorrhage occurred. Because of delay in transfusion, hemodilution progressed until minimum hemoglobin concentration of 1.6 g x dl(-1): minimum hematocrit of 4.8%. In spite of this extreme hemodilution, we could stabilize his hemodynamics and he recovered without any apparent damage in major organs. For management of hemodynamics a massive dose of hydroxyethylated starch (HES) was infused to maintain the intravascular volume. For massive hemorrhage, HES infusion may be useful to keep hemodynamics in spite of progressive hemodilution.

Citation

Satoshi Yamaguchi, Yuki Kojima, Jiro Kitamura. Case in which massive hydroxyethylated starch (HES) infusion was useful for massive hemorrhage in spite of progressive hemodilution]. Masui. The Japanese journal of anesthesiology. 2012 Feb;61(2):206-9

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PMID: 22413449

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