Acid-Base and Electrolyte Changes during Exchange Transfusion
| العنوان: | Acid-Base and Electrolyte Changes during Exchange Transfusion |
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| المؤلفون: | Gy. Tóth, Domokos Boda, Erna Eck, Murányi L |
| المصدر: | Acta Paediatrica. 55:217-223 |
| بيانات النشر: | Wiley, 1966. |
| سنة النشر: | 1966 |
| مصطلحات موضوعية: | medicine.medical_specialty, Sodium bicarbonate, Alkalosis, Bilirubin, business.industry, medicine.medical_treatment, Exchange transfusion, Metabolic acidosis, General Medicine, Electrolyte, medicine.disease, Surgery, chemistry.chemical_compound, chemistry, Anesthesia, Pediatrics, Perinatology and Child Health, medicine, medicine.symptom, business, Hyperpotassaemia, Acidosis |
| الوصف: | Summary In connection with blood exchange transfusions carried out on forty newborn infants it has been found that the majority of the newborns requiring exchange transfusion have metabolic acidosis increasing to possibly critical severity by the end the exchange transfusion. The acidosis, however, is soon normalized spontaneously. Pretreatment with sodium bicarbonate infusion normalizes the pretrans fusion shift in acid-base balance and vents the development of a severe acidosis following the exchange transfusion without risking a subsequent alkalosis. Before exchange transfusion a slight hypernatraemia has often been observed and this increases transiently after blood exchange. Pretreatment with infusion did not modify this phenomenon. In our material no hyperpotassaemia has been encountered by the end of ex- change transfusion. I n response to pre-treatment with sodium bicarbonate infusion the plasma K+ level decreased slightly. By promoting the conjugation of bilirubin to proteins, pretreatment with sodium bicarbonate may presumably improve also the efficiency of the exchange transfusion; this, however, requires further proof. |
| تدمد: | 1651-2227 0803-5253 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::7861f8bea1542cce9096e3624ed0e143Test https://doi.org/10.1111/j.1651-2227.1966.tb15228.xTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi...........7861f8bea1542cce9096e3624ed0e143 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16512227 08035253 |
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