[Indications for normovolemic hemodilution]

Area of Science:

• Medicine
• Surgery
• Physiology

Background:

• Deliberate haemodilution is a blood management strategy used in various medical and surgical contexts.
• Maintaining normovolaemia and adequate haematocrit levels are crucial for safe haemodilution.

Purpose of the Study:

• To outline the indications and contraindications for deliberate haemodilution.
• To emphasize the importance of adhering to specific physiological parameters during the procedure.

Main Methods:

• Review of existing literature and clinical guidelines on deliberate haemodilution.
• Analysis of physiological parameters, including normovolaemia and haematocrit levels.
• Identification of key contraindications for the procedure.

Main Results:

• Numerous surgical and medical indications exist for deliberate haemodilution.
• Maintaining normovolaemia and a haematocrit level of at least 30% are essential.
• Coronary insufficiency is identified as a formal contraindication.

Conclusions:

• Deliberate haemodilution is a viable option for a wide range of procedures under specific conditions.
• Strict adherence to haemodilution protocols, particularly regarding contraindications like coronary insufficiency, is paramount for patient safety.