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[Value of hypovolemia in subarachnoid hemorrhage]
M E Petitjean1, E Marguinaud, M Mehsen
1Département d'anesthésie-réanimation III, Centre hospitalier et universitaire Pellegrin, Bordeaux.
Abstract:
Hypovolemia seems a commun state in patients with subarachnoid hemorrhage. It has been further suggested that hypovolemia could cause ischemia if vasospasm is present. Total blood volume and red blood cells volume determined in 84 consecutive patients volume of distribution (of 51Chromium labeled autologous red cells, shows an hypovolemia in 70% of these patients). Associated hypomotremia requires Na restitution with normovolemic hemodilution to facilitate cerebral blood flow.