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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 181 - 186 (6page)
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Background: A high hematocrit level in patients with erythrocytosis is linked with increased blood viscosity and increased risk of thromboembolism. Therefore, it is necessary to adequately lower the hematocrit level before performing a high-risk surgery. Case: A 67-year-old male was scheduled for aortic valve replacement due to severe aortic stenosis. The preoperative hematocrit level of this patient was very high due to secondary polycythemia by hypoxia. We decided to perform acute normovolemic hemodilution after anesthetic induction to reduce the risk of thromboembolism in the patient. The patient was discharged after a successful surgery and a post-operative period without any side effects. Conclusions: We estimate that patients with secondary polycythemia may benefit from acute normovolemic hemodilution to reduce their hematocrit levels while undergoing cardiac surgery using cardiopulmonary bypass. However, it is necessary to control the hematocrit level, since a significant decrease can cause side effects.
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등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Edmunds LH Jr / 2006 / Thrombin during cardiopulmonary bypass / Ann Thorac Surg 82:2315~2322
Cundy J / 1980 / The perioperative management of patients with polycythaemia / Ann R Coll Surg Engl 62:470~475
임형우 / 2015 / Anesthetic management of a patient with polycythemia vera undergoing emergency repair of a type-A aortic dissection and concomitant coronary artery bypass grafting -a case report- / Korean Journal of Anesthesiology 68(6):608~612
지성미 / 2015 / Predictive value of rotational thromboelastometry during cardiopulmonary bypass for thrombocytopenia and hypofibrinogenemia after weaning of cardiopulmonary bypass / Korean Journal of Anesthesiology 68(3):241~248
Swerdlow SH / 2017 / WHO classification of tumours of haematopoietic and lymphoid tissues / International Agency for Research on Cancer (IARC)
Cundy J / 1980 / The perioperative management of patients with polycythaemia / Ann R Coll Surg Engl 62:470~475
임형우 / 2015 / Anesthetic management of a patient with polycythemia vera undergoing emergency repair of a type-A aortic dissection and concomitant coronary artery bypass grafting -a case report- / Korean Journal of Anesthesiology 68(6):608~612
지성미 / 2015 / Predictive value of rotational thromboelastometry during cardiopulmonary bypass for thrombocytopenia and hypofibrinogenemia after weaning of cardiopulmonary bypass / Korean Journal of Anesthesiology 68(3):241~248
Swerdlow SH / 2017 / WHO classification of tumours of haematopoietic and lymphoid tissues / International Agency for Research on Cancer (IARC)
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