Major childhood tumor resection using normovolemic hemodilution anesthesia and hetastarch.


Journal Article

Acute normovolemic hemodilution is a safe technique for minimizing operative blood loss during major tumor resection in children. Based on our experience using hemodilution anesthesia in 14 successful extensive tumor resections, we conclude the following: (1) this is an effective means of reducing use of bank blood and thus avoiding the risks of multiple transfusions; (2) it facilitates surgical dissection due to increased visibility with dilute blood, and decreased bleeding due to controlled hypotension; (3) this technique is acceptable for Jehovah's Witnesses; (4) hetastarch is an effective, inexpensive colloid hemodiluent which minimized perioperative edema compared to crystalloid hemodilution.

Full Text

Cited Authors

  • Adzick, NS; deLorimier, AA; Harrison, MR; Glick, PL; Fisher, DM

Published Date

  • August 1985

Published In

Volume / Issue

  • 20 / 4

Start / End Page

  • 372 - 375

PubMed ID

  • 2413195

Pubmed Central ID

  • 2413195

Electronic International Standard Serial Number (EISSN)

  • 1531-5037

International Standard Serial Number (ISSN)

  • 0022-3468

Digital Object Identifier (DOI)

  • 10.1016/s0022-3468(85)80222-0


  • eng