In Moderate Anemic Patients with Normal Cardiopulmonary Function, Should Preoperative Blood Transfusion be a Mandatory Procedure in Uterine Myoma Patients.
10.4097/kjae.1997.33.5.923
- Author:
Kyu Jong LEE
;
Sang Gon LEE
;
Jong Il KIM
;
Jong Seouk BAN
;
Byung Woo MIN
- Publication Type:Original Article
- Keywords:
Surgery, uterine myoma;
Transfusion, anemia, hemoglobin
- MeSH:
Anemia;
Anesthesia;
Blood Pressure;
Blood Transfusion*;
Heart Rate;
Humans;
Leiomyoma*;
Oxygen
- From:Korean Journal of Anesthesiology
1997;33(5):923-927
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: In anemic patients, it has been usually traditional practice to correct the anemic state with preoperative blood transfusion. But now, there is an increasing tendency of refusing blood transfusion due to the transfusional complications, especially AIDS etc. The purpose of this study is to survey the effects of anesthesia in anemic patients with normal cardiopulmonary function compared to non-anemics. METHOD: 40 patients with uterine myoma were divided into two groups, an experimental group of 20 patients with hemoglobin concentration of 8~10 gm% and a control group of 20 patients with hemoglobin concentration higher than 10 gm%, and their blood pressure, pulse rate and arterial oxygen saturation were monitored and compared. RESULTS: There were no significant differences between two groups in blood pressure, pulse rate and arterial oxygen saturation. CONCLUSION: Preoperative blood transfusion, in patients with moderate anemia, does not seem to be a mandatory practice.
