Search In this Thesis
   Search In this Thesis  
العنوان
Acute normovolemic hemodilution in gastrointestinal surgeries /
المؤلف
Mahmoud, Mohamed Reda.
هيئة الاعداد
باحث / محمد رضا محمود
مشرف / أبراهيم عباس يوسف
مشرف / معتصم محمد على
مشرف / جوزيف ذكرى عطيه
الموضوع
Blood - Viscosity. Hematology.
تاريخ النشر
2022.
عدد الصفحات
80 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
العناية المركزة والطب العناية المركزة
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة المنيا - كلية الطب - التخدير والعنايه المركزه
الفهرس
Only 14 pages are availabe for public view

from 91

from 91

Abstract

Intense normovolemic hemodilution (ANH) is a method of perioperative ABT previously utilized in 1946 and presently broadly utilized in clinical practice. ANH is ordinarily done after sedation and sooner than the start of the essential strides of a medical procedure.
Expectation of the work:
The point of this investigate is to assess wellbeing and adequacy of intense normovolemic hemodilution as a chance for allogenic blood bonding in GIT medical procedures with resulting evasion of the normal dangers of homologous blood.
Patients and procedures:
Type of take a gander at:
Randomized controlled preliminary
Victims:
All victims both grown up guys or females older from 18 50 years with next to no of the resulting comorbidities: heart ailment, wild hypertension, breathing disability, Impaired renal capacity., Hemoglobin (Hb) level < 10 gm/dl, and bacteremia. Fourty patients were remembered for the concentrate subsequent to acquiring an educated assent from them as indicated by the guidelines of the morals advisory group rules.
Patients were alloted haphazardly into 2 equivalent gatherings, the hemodilution bunch and the benchmark group.
Results:
The two gatherings were very much coordinated, there was no measurably critical distinction between the two gatherings in regards to standard attributes (age, sex, weight, span of a medical procedure, assessed blood volume, assessed admissible blood misfortune and blood misfortune). There is measurably immaterial contrast of mean HRT 2,3,4 and 5 between two gatherings of the review (P esteem > zero.05), however there was a genuinely broad lower of coronary pulse handiest after acceptance of sedation. There is genuinely enormous abatement of infer MAPT2 &3 in bunch H in assessment to establishment C (P price< zero.05).
There’s measurably immaterial differentiation of suggest CVPT1,2,three,four &five between associations of the gander at (P esteem < 0.05). There is measurably huge reduction of mean Hb and hematocrit at time 2,3,four and five in association H in contrast with bunch C (P.< zero.05) nonetheless, at the same time there is genuinely incredible blast of infer HtT5 in association H in assessment to foundation C (P cost < 0.05). There’s measurably sizeable lower of recommend PltT2,three,4&five in bunch H in assessment to bunch C (P cost < 0.05). There is genuinely irrelevant contrast of mean INR, PH, PO 2, PCO 2 and HCO 3 at time 1,2,3,4 and 5 between two gatherings of the review C (P esteem > zero.05).
End
The extraordinary normovolemic hemodilution is protected, viable substitute methodology for allogenic blood bonding in principle gastrointestinal medical procedure with ensuing forgoing of the normal angle impacts of homologous blood.