Akademik Veri Yönetim Sistemi
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi, cilt.22, sa.3, ss.99-104, 2016 (Scopus)
Objective: There is no definitive suggestion for the content of the priming solution in on pump open hearth surgery, but studies comparing the advantages and disadvantages of priming liquids are still ongoing. In our study, we aimed to compare the effects of colloid and crystalloid priming solutions on the final fluid balance in open heart surgery. Material and Method: Data from 100 patients ivith ASA I-II who underwent elective on pump open heart surgery were obtained from anesthesia files and patient records. Hundred patients ivere included in the study, and data of 50 patients for whom crystalloid + colloid priming solutions and 50 who received only crystalloid priming solutions were evaluated. Results: Fluid balance at the end of CPII ivas statistically significantly higher in the crystalloid group, while at the end of the surgery it ivas similar in both groups (p<0.001, p=0.09). The amount, of blood products used, and urine output, estimated at the end of surgery ivere similar in both groups. Creatinine levels in the preoperative and postoperative periods were similar within, and between groups. Conclusion: HKS 6% (130/0.4) decreased fluid balance at the end of CPB in on-punip open hearth surgery and this effect continued until the end of surgery. Effects on hemostasis and bleeding were similar with crystalloids. Although (HES) 6% (13010.4) does not impair creatinine levels in patients with normal renal functions, it should be contemplated as real drugs and used in appropriate doses and for suitable durations.