This book describes the conservative therapy of circulatory disturbances andthe blood volume substitution with hydroxyethyl starch. It contains a succint discussion of use of hemodilution in the treatment of different circulatory disturbances. Treatment regimens are presented which are based on many years of clinical experience. Special consideration is given to contraindications, possible side effects, and precautionary measures, including for example a description of pharmacokinetics and biological effects. In the appendix there is a detailed description of the methods of measurement and a listing of normal values and their ranges for each of these different methods. Numerous references are given for the individual aspects. The book's manner of presentation is new. In the first part clinical recommendations are given in concise form; they are based primarily on controlled clinical studies. The second part describes the most important effects, and the last part covers methods. A detailed discussion of the general physical fundamentals and of knowledge derived from animal models has been omitted inorder to discuss the clinical aspects more thoroughly. Only clinical studiesconducted in the past five years have been taken into consideration. It is the aim of this volume to provide the clinician and practicioner with concise information on the use of hemodilution, with special emphasis on safety. The book's organization makes it possible for the reader to find answers to questions regarding hemodilution therapy very quickly.
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Zustand: New. Dieser Artikel ist ein Print on Demand Artikel und wird nach Ihrer Bestellung fuer Sie gedruckt. New Aspects in the Management of Circulatory Blood Flow. Improvement of Macro- and MicrocirculationIron Metabolism.- Clinical Experience.- Hemodilution in Cerebral Circulatory Disturbances: Indications, Implementation, Additional Drug Treatment, and Alt. Bestandsnummer des Verkäufers 4893561
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Taschenbuch. Zustand: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -H. KIESEWETTER, J. KosciELNY, and F. JuNG Tbe byperoncotic colloid-osmotic pressure of tbe 10% Haes solution causes an increased intravascular volume because free tissue water flows into the vascular system [206]. Witb a volume expansion effect of about 50% an increase in intravascular volume of 750 ml (500 mi Haes and 250 mi tissue water) is expected immediately after hypervolemic hemodilution, after isovolemic bemodilution only an in crease of 250 mi ( only tissue water due to a pblebotomy of 500 mi). The blood is diluted by overloading the vascular system [245]. After isovolemic bemodilution tbe dilution effect is more marked due to the pblebotomy. Estimated by means of the total protcin concentration (Fig. 67) the dilution of plasma was 22% 1 h after isovolemic hemodilution but only 14% after bypervolemic bemodilution. Tbe plasma dilutions were almost confirmed by the concentration changes of albumin (Fig. 68). Therefore, the mixing ratio is 4. 1 to 1 (plasma to bydroxyetbyl starcb) for bypervolemic infusion of 500 ml Haes-sterillO% (200/0. 5) and 3. 7 to 1 for isovolemic dilution. Consequently, the hydroxyethyl starch concentration after isovolemic hemodilution was signifi cantly bigher at all measuring times tban after hypervolemic hemodilution (Fig. 61). If tbe infusion was performed quickly so that no renal output of the Haes solution could ensue, a mean bydroxyetbyl starch concentration of 10. 3 g per liter plasma would be expected immediately after isovolemic hemodilution for tbe above mixing ratio, and one of 9. 0 g after hypervolemic bemodilution. 256 pp. Englisch. Bestandsnummer des Verkäufers 9783540553526
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Taschenbuch. Zustand: Neu. This item is printed on demand - Print on Demand Titel. Neuware -Iron Metabolism.- Clinical Experience.- Hemodilution in Cerebral Circulatory Disturbances: Indications, Implementation, Additional Drug Treatment, and Alternatives.- Comparison of Iso- and Hypervolemic Hemodilution with Haes.- Methods.Springer-Verlag KG, Sachsenplatz 4-6, 1201 Wien 256 pp. Englisch. Bestandsnummer des Verkäufers 9783540553526
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Taschenbuch. Zustand: Neu. Druck auf Anfrage Neuware - Printed after ordering - H. KIESEWETTER, J. KosciELNY, and F. JuNG Tbe byperoncotic colloid-osmotic pressure of tbe 10% Haes solution causes an increased intravascular volume because free tissue water flows into the vascular system [206]. Witb a volume expansion effect of about 50% an increase in intravascular volume of 750 ml (500 mi Haes and 250 mi tissue water) is expected immediately after hypervolemic hemodilution, after isovolemic bemodilution only an in crease of 250 mi ( only tissue water due to a pblebotomy of 500 mi). The blood is diluted by overloading the vascular system [245]. After isovolemic bemodilution tbe dilution effect is more marked due to the pblebotomy. Estimated by means of the total protcin concentration (Fig. 67) the dilution of plasma was 22% 1 h after isovolemic hemodilution but only 14% after bypervolemic bemodilution. Tbe plasma dilutions were almost confirmed by the concentration changes of albumin (Fig. 68). Therefore, the mixing ratio is 4. 1 to 1 (plasma to bydroxyetbyl starcb) for bypervolemic infusion of 500 ml Haes-sterillO% (200/0. 5) and 3. 7 to 1 for isovolemic dilution. Consequently, the hydroxyethyl starch concentration after isovolemic hemodilution was signifi cantly bigher at all measuring times tban after hypervolemic hemodilution (Fig. 61). If tbe infusion was performed quickly so that no renal output of the Haes solution could ensue, a mean bydroxyetbyl starch concentration of 10. 3 g per liter plasma would be expected immediately after isovolemic hemodilution for tbe above mixing ratio, and one of 9. 0 g after hypervolemic bemodilution. Bestandsnummer des Verkäufers 9783540553526
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