Fluid shift from intravascular compartment during fetal red blood cell transfusion.

Autor: Kamping, M. A., Pasman, S. A., Bil ‐ van den Brink, C. P., Oepkes, D., Adama van Scheltema, P. N., Vandenbussche, F. P. H. A.
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Zdroj: Ultrasound in Obstetrics & Gynecology; May2013, Vol. 41 Issue 5, p550-555, 6p
Abstrakt: Objectives Intrauterine transfusion imposes a considerable burden on the fetal circulation by increasing volume and pressure, and a fluid shift from the fetal circulation occurs even during the procedure. The aim of this study was to quantify the intraprocedural fluid shift and to investigate the effect of procedural and fetal characteristics on this fluid shift. Methods In 95 alloimmunized pregnancies, we calculated fluid shift at the first intrauterine transfusion by determining initial and final blood volumes. We evaluated the association of the fluid shift with the speed and volume of the transfusion, the severity of anemia and the presence of hydrops. Results Of the included fetuses, 11 were mildly hydropic and four were severely hydropic. A mean fluid shift of 36% of the transfused volume was found. Fluid shift related positively to transfused volume (P?
Databáze: Complementary Index