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The effect of administering colloid solution on the postoperative blood loss in patients who are undergoing total knee arthroplasty: Comparing Hextend with Voluven

Other Title
혈액회수법을 사용한 슬관절 전치환술시 교질액 사용이 술 후 출혈에 미치는 영향: Hextend와 Voluven의 비교
Authors
김, 종엽; 김, 진수; 한, 상건; 박, 관식; 황, 지훈; 박, 성용
Citation
Anesthesia and Pain Medicine, 5(4):355-359, 2010
Journal Title
Anesthesia and Pain Medicine
ISSN
1975-5171
Abstract
Background:Total knee arthroplasty (TKR) is associated with a significant loss of blood. Fluid substitution with crystalloid or colloid solutions to correct perioperative hypovolemia is essential. Colloid solutions, and especially hydroxyethyl starches (HES), are used to treat hypovolemia, but they may affect blood coagulation. The purpose of this study was to test the efficacy and the safety of colloid solutions in patients undergoing TKR.



Methods:The patients undergoing TKR were divided into a group that underwent fluid management with Voluven? (n = 22) and a group that was managed with Hextend? (n = 24). The blood loss, the autotransfused blood volume, the hemoglobin level, the allogenic blood requirement, the urine output and the complications were assessed.



Results:There were no significant differences in the amount of blood loss, the autotransfused blood volume, the allogenic requirement, the urine output and the complications between the two groups.



Conclusions:Voluven? and Hextend? are equally efficacious plasma volume substitutes when performing TKR with an autotransfusion of drained blood.
Keywords
Colloid solutionHydroxyethyl starchTotal knee arthroplasty
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
AJOU Authors
김, 종엽김, 진수박, 관식박, 성용
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