Open AccessContinuous Noninvasive Hemoglobin Monitoring Reflects the Development of Acute Hemodilution After Consecutive Fluid Challenges
Author(s) -
Șerban Bubenek-Turconi,
Liana Văleanu,
Mihai Popescu,
Eugenia Panaitescu,
Dana Tomescu,
Mihai Cătălin Cacoveanu,
Azriel Perel
Publication year - 2020
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000004323
Subject(s) - medicine , anesthesia , hemoglobin , stroke volume , surgery , heart rate , blood pressure
Consecutive fluid challenges (FCs) are frequently administered to maximize the stroke volume (SV) as part of a goal-directed therapy (GDT) strategy. However, fluid administration may also cause acute hemodilution that might lead to an actual paradoxical decrease in oxygen delivery (DO2). The aim of this study was to examine whether continuous noninvasive hemoglobin (SpHb) monitoring can be used to detect the development of acute hemodilution after graded fluid administration.