From: Alternative blood transfusion triggers: a narrative review
Trials | Population | Monitored indicators |
---|---|---|
J.A. Liebermanet et al. [66] | Healthy volunteers aged 19–25; acute normovolemic hemodilution, hemoglobin reduced from 12.5 ± 0.8 to 4.8 ± 0.2 g/dl | Identification of the critical level of oxygen delivery: DO2crit = 7,3 ml/min/kg |
J.M. Leung et al. [67] | 55 healthy volunteers; acute normovolemic hemodilution, hemoglobin level 5Â g/dl | Assessment of myocardial oxygen delivery and consumption imbalance based on ST-segment changes: three volunteers had ST-segment changes on the background of tachycardia, without clinical symptoms and completely reversible. |
D.R. Spahn et al. [68] | 20 patients over 65 years without concomitant diseases of the cardiovascular system, acute normovolemic hemodilution, hemoglobin level 88 ± 3 g/l | Assessment of CI, O2ER, ST segment changes: the decrease in hemoglobin was compensated by the increase in CI and O2ER, there were no changes in the ST segment in lead II, and a slight decrease in the ST segment was noted in lead V5. There were no electrocardiographic signs of myocardial ischemia. |
D.R.Spahn et al. [69] | 60 patients with coronary artery disease who took long-term beta-blockers and underwent coronary artery bypass grafting | The decrease in hemoglobin to 99 ± 2 g/l was compensated by an increase in CI and O2ER; there were no electrocardiographic signs of myocardial ischemia. |