Câncer, Volemia e Grande Cirurgia
DOI:
https://doi.org/10.32635/2176-9745.RBC.1967v23n33.4044Keywords:
Postoperative Complications, Intraoperative Complications, Neoplasms/surgery, Blood Volume, HypovolemiaAbstract
The A. makes a study of the pre and post-operative complications related to blood volume cbanges. The effects of anestbesia and surgical trauma on the patient, and their fundamental mechanisms, are analysed. In sequence the Syndrome of Depletion and the metabolic alterations of surgical trauma are studied. A critical review is made of the methods employed to determine blood volume. The method of MOORE, based on studies of body composition with radioisotopes, is presented. The A. uses the blood volumes as given by MOORE’S method, adapting them to Brazilian standards. This is done by interpolations and calculation of parcelated red cell and plasma volume, based on the hematocrits considered normal for Brazilians. The physiopathology of blood volume changes and the methods of blood reposition are summarized. A review is made of the problem of protein depletion and its influence in the healing process and the maintenance of homeostasis. In conclusion the A. points out the rules to be followed for correction blood volume deviations.
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BADER, M. E., e BADER, R. A.: Negative Pressure Breathing. Am. J. Med., 28; 333, 1960. DOI: https://doi.org/10.1016/0002-9343(60)90164-9
BADER, R. A., ELLIOT, J. W. e BASS, D. E.: Hormonal and Renal Mechanisms of Cold Diuresis. J. Appl. Physiol., 4: 649, 1952. DOI: https://doi.org/10.1152/jappl.1952.4.8.649
BONDY, P. K., INGLE, D. J. e MEEKS, R. C.: Influence of Adrenocortical Hormes upon the Level of Plasma Amino Acids in the Eviscerated Rat. Endocrinology, 55: 354, 1954. DOI: https://doi.org/10.1210/endo-55-3-354
BROWN, J. M.: Anesthesia and the Contractile Force of the Heart, A Review. Anesth. & Analg. 39: 487, 1960. DOI: https://doi.org/10.1213/00000539-196011000-00010
BROWNE, J. S. L., JOHNSON, J. C., SCHENKER, V. e VENNING, E. H.; Protein Metabolism in Acute and Chronic Disease and the Relation of Protein Metabolism to Excretion of Glucocorticoids. Proc. First Clinical ACTH Conference. New York, The Blakiston Co., 108, 1950.
BUCHBORN, E.: Plasma Level of Antidiuretic Hormone and Serum Osmolarity in Normal Human Adults. Endocrinology. 61; 375, 1957. DOI: https://doi.org/10.1210/endo-61-4-375
CAZAL, P.: La Masse Sanguine et sa Pathologie. Paris. Masson & Cie. pg. 260, 1955.
COELHO, A. P.: Técnicas de Radiobioquímica. Ed.: Instituto de Biofísica da Escola de Medicina e Cirurgia do Rio de Janeiro. 1961.
DE WARDENER, H. E.: O Rim. E.: Guanabara-Koogan. 116, 1961.
DUBOIS e DUBOIS,: Arch. Int. Med., 15: 868, 1915. Citado por CAZAL, P.: (7). DOI: https://doi.org/10.1001/archinte.1915.00070240077005
EDELMAN, I. S. ej MOORE, F. D.: Body Water, Water Distribution and Water Kinetics as Revealed by the Use of Deuterium Oxide. J. Clin. Invest. 30: 628, 1951.
HAMMOND, W G., ARONOW, L. e MOORE, F. D.: Studies in Surgical Endocrinology. III. Ann. Surg., 144: 715, 1956. DOI: https://doi.org/10.1097/00000658-195610000-00013
HICKS, D. A., HOPE, A., TURNBULL, A. L. e VEREL, D.: The Estimation and Prediction of Normal Blood Volume. Clin. Sc. 15; 557, 1956.
KINNEY, J. M.: A Consideration of Energy Exchange in Human Trauma. Bull. New York Acad. Med., 36: 617, 1960.
KINNEY, J. M. e MOORE, F. D.: Surgical Metabolism in Metabolism of Body Fluids. in BLAND, J. H.: Clinicai Metabolism of Body Water and Electrolytes. W. B. Saunders. 356, 1963.
LEVINSON, S. A. e MC FATE, R. P.: Diagnóstico Clínico de Laboratório. El Ateneo. B. Aires. 505, 1956.
MOORE, F. D.: Determination of Total Body Water and Solids with Isotopes. Science, 104: 157, 1946. DOI: https://doi.org/10.1126/science.104.2694.157
MOORE, F. D.: Metabolic Care of the Surgical Patient. Ed: Saunders. pg. 416, 1959.
Ibd. pgs. 145 e segs. e 205.
Ibd. pág. 154.
Ibd. pág. 155.
Ibd. pág. 146.
Ibd. pág. 475.
MOORE, F. D.: Bodily Changes in Surgical Convalescence. The Normal Sequence. Observations and Interpretation. Ann. Surg. 137: 289, 1953. DOI: https://doi.org/10.1097/00000658-195303000-00001
MOORE, F. D.: Regulation of the Serum Sodium Concentration, Origin and Treatment of Tonicity Disorders in Surgery. Am. J. Surg., 103: 302, 1962. DOI: https://doi.org/10.1016/0002-9610(62)90218-0
MOORE, F. D. et al.: Body Sodium and Potassium. V. The Relationship of Alkalosis, Potassium Deficiency and Surgical Stress to Acute Hypokalemia in Man. Presentation of Experiments and Review of the Literature. Metabolism. 4: 379, 1955.
MOORE, F. D., EDELMAN, I. S., OLNEY, J. M., JAMES, A. H., BROOKS, L. e WILSON, G. M.: Body Sodium and Potassium. III. Interrelated Trends in Alimentary, Renal and Cardiovascular Disease; Lack of Correlation Between Body Stores and Plasma Concentration. Metabolism, 3: 334, 1954.
SCHLOERB, P. R., FRIIS-HANSEN, B. J., EDELMAN, I. S., SOLOMON, A. K., e MOORE, F. D.: The Measurement of Total Body Water in the Human Subject by Deuterium Oxide Dilution; with Consideration of the Dynamics of Deuterium Distribution. J. Clin. Invest. 22: 1.296, 1950.
SCHMIDT, L. A., III, lOB, V., FLOTTE, C. T., HODGSON, P. E. e MC MATH, M.: Blood Volume Changes in the Aged. Surgery, 40: 938, 1956.
SMITH, H. W.: Salt and Water Volume Receptors: An Exercise in Physiologic Apologetic. Am. J. Med., 23: 623, 1957. DOI: https://doi.org/10.1016/0002-9343(57)90232-2
STEENBURG, R. W., LENIHAN, R. e MOORE, F. D.: Studies in Surgical Endocrinology. Ann. Surg., 143: 180, 1956. DOI: https://doi.org/10.1097/00000658-195602000-00004
VERNEY, E. B.: Croonian Lecture: The Antidiuretic Hormone and the Factors Which Determine Its Release. Proc. Roy. Soc. London., sB. 135: 25, 1947. DOI: https://doi.org/10.1098/rspb.1947.0037
WEICHSELBAUM, T. E., ELMAN, R. H.: Comparative Utilization of Fructose and Glucose Given Intravenously. Proc. Exper. Biol. and Med. 75: 816, 1950. DOI: https://doi.org/10.3181/00379727-75-18355
WEINSTEIN, J. J.: Parenteral Therapy with Invert Sugar. Ann. West. Med. and Surg. 4: 373, 1950.
WHITE, J. R., e ROBERTS, K. N.: in YOUMANS, J. B. (Ed). Symposia on Nutrition of the Robert Gould Research Foundation. Vol. II, Plasma Proteins. Springfield. III. Charles C. Thomas, 1950.
WISHNOFSKY, M.: Caloric Equivalents of Gained or Lost Weight. Am. J. Clin. Nutrition, 6: 542, 1958. DOI: https://doi.org/10.1093/ajcn/6.5.542
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