Volume Therapy

Buch | Softcover

X, 150 Seiten

2012 | 1. Softcover reprint of the original 1st ed. 2000
Springer Berlin (Verlag)
978-3-642-64054-4 (ISBN)

Artikel merken

Volume therapy or infusion therapy is used worldwide for the treatment of hypovolemia caused by surgical blood and plasma losses, trauma, burns, or infections. Interestingly, significant differences exist between countries regarding the use of plasma substitutes. In the United States, crystalloids and albumin are more popular, whereas in Europe artificial colloids such as hydroxyethyl starch are preferred. From an international perspective, it is notable that volume therapy using hydroxyethyl starch is an established therapy for the treatment of cerebral, retinal, otogenic, and peripheral circulation disorders in Germany. In other countries, crys talloids are mostly used to treat dehydration or hypovolemia, for example in brain stroke. In recent years, new data made it possible to overcome national differences and agree on an evidence-based, international con sensus. The efficacy of different plasma substitutes for a volume therapy last ing several days has not been sufficiently studied in the past. Long-term volume therapy of patients with cerebral perfusion disorders is an excel lent model for studying the effects of artificial colloids in detail, because of the high doses of colloids that are administered. Through a compari son of commonly used plasma substitutes, we were able to show that sig nificant differences exist between different colloids, for example in their effect on coagulation. After repeated infusion, hydroxyethyl starches that are difficult to degrade lead to an accumulation of large molecules that are difficult to eliminate. These large molecules impair factor VIII/von Willebrand factor.

1 Volume Therapy in Neurology.- 2 Hetastarch for the Treatment of Perioperative Hypotension.- 3 Volume Therapy and Ocular Diseases.- 4 Volume Therapy in the Field of Otolaryngology, Head and Neck Surgery.- 5 Volume Therapy in Neurosurgery.- 6 Crystalloids or Colloids for Volume Replacement in Anesthesia and Intensive Care Medicine?.- 7 Efficacy of Plasma Substitutes for a Volume Therapy.- 8 Hydroxyethyl Starch and Reperfusion Injury.

Erscheint lt. Verlag	7.1.2012
Mitarbeit	Assistent: J. Boldt, D.J. Cole, F. Cortbus, M.T. Grauer, A Haass, Heinrich Iro, E.T. Riley, K.W. Ruprecht, R. Schell, V. Scherer, W.I. Steudel, G. Stier, F. Waldfahrer
Zusatzinfo	X, 150 p.
Verlagsort	Berlin
Sprache	englisch
Maße	155 x 235 mm
Gewicht	259 g
Themenwelt	Medizinische Fachgebiete ► Innere Medizin ► Hämatologie
Schlagworte	anesthesia • Blutersatzstoffe • Care • Circulation • Head • Head and Neck Surgery • Medicine • Neurologie • Neurology • Plasma • Plasma Substitutes • Surgery • therapy • Volumentherapie • Volume Therapy
ISBN-10	3-642-64054-0 / 3642640540
ISBN-13	978-3-642-64054-4 / 9783642640544
Zustand	Neuware