Effect of Acute Hypervolemic Hemodilution on Hemodynamics in Patients Undergoing Lumbar Surgery

Wang Ling Ling; Ma Wei Qing; Li Zhi Gui; Li Na; Huang Zhi Guo

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Wang Ling Ling , Ma Wei Qing , Li Zhi Gui , Li Na , Huang Zhi Guo . Effect of Acute Hypervolemic Hemodilution on Hemodynamics in Patients Undergoing Lumbar Surgery[J]. Journal of Kunming Medical University, 2019, 40(03): 83-86.

Citation:

Wang Ling Ling , Ma Wei Qing , Li Zhi Gui , Li Na , Huang Zhi Guo . Effect of Acute Hypervolemic Hemodilution on Hemodynamics in Patients Undergoing Lumbar Surgery[J]. Journal of Kunming Medical University, 2019, 40(03): 83-86.

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Effect of Acute Hypervolemic Hemodilution on Hemodynamics in Patients Undergoing Lumbar Surgery

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基金：成都军区“十二五”医学科研基金资助项目 (B14013);

Received Date: 2018-11-13

Abstract

Abstract

Objective To investigate the effect of acute hypervolemic hemodilution on hemodynamics in patients undergoing lumbar surgery in prone position. Methods 150 patients in prone position were randomly divided into 3 groups: Ringer's lactate solution group (n=50) : Ringer's lactate solution 15 m L/kg was injected within 30 minutes after anesthesia induction; hydroxyethyl starch group 1 (n=50) ;hydroxyethyl starch sodium chloride (130/0.4) 15 ml/kg was injected within 30 minutes after anesthesia induction; hydroxyethyl starch group 2 (n=50) : after induction of anesthesia, hydroxyethyl starch sodium chloride (130/0.4) 20 ml/kg was injected into 30 min. Flo Trac/Vigilo cardiac output monitor was used to continuously monitor the patients' SVI, CI, SVV, MAP, HR, CI, SVI, CVP and CVP in supine and prone positions. Airway pressure (P) . Results Compared with the supine position, the CI, SVI and CVP in RS group decreased significantly 10 minutes after prone position (P < 0.05) , MAP, SVV and airway pressure increased significantly (P < 0.05) , HR did not change significantly (P > 0.05) ;the change trend of the above parameters in HES1 group was the same as that in RS group, but the difference of parameters between prone position and supine position was more obvious than that in RS group. There was no significant difference in CI, SVI, HR, SVV and supine position after prone position in HES2 group (P > 0.05) , MAP and airway pressure after prone position were significantly higher than those in supine position (P < 0.05) . Conclusion Acute hemodilution (HES 15 m L/kg and 20 m L/kg) can improve the hemodynamic fluctuation after prone position, and HES 20 ml/kg is more beneficial to maintain the circulation stability after prone position.
- Acute hypervolemic hemodilution,
- Lumbar surgery,
- Prone position,
- Cardiac output

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References(15)

References

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