OPTIMIZATION OF THE BLOOD FOR OXYGEN-TRANSPORT AND TISSUE PERFUSION IN CRITICAL CARE

In present practice, patients in intensive care are managed with subnormal haematocrit values and oligovolaemia. Optimization of the blood for oxygen transport in preterm infants in intensive care yields major benefits in their prognosis. A rational basis is described for this optimization in terms...

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Bibliographic Details
Published in:Postgraduate medical journal 1992-01, Vol.68, p.S2-S6
Main Authors: WARDROP, CAJ, HOLLAND, BM, JACOBS, S, JONES, JG
Format: Article
Language:English
Subjects:
Adult
Blood Component Transfusion
Blood Volume - physiology
Critical Care - methods
Erythrocyte Volume
General & Internal Medicine
Hematocrit
Humans
Infant, Newborn
Infant, Premature
Intensive Care, Neonatal - methods
Life Sciences & Biomedicine
Medicine, General & Internal
Oxygen - blood
Perfusion
Respiration, Artificial
Science & Technology
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Summary:In present practice, patients in intensive care are managed with subnormal haematocrit values and oligovolaemia. Optimization of the blood for oxygen transport in preterm infants in intensive care yields major benefits in their prognosis. A rational basis is described for this optimization in terms of the circulating blood volume and haematocrit, represented by circulating red cell volume (mass). Extrapolation of these lessons in haematological management is proposed for adult patients in critical care, so as to reduce dependence on respiratory support and minimize clinical complications and costs.
ISSN:0032-5473