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Korean Journal of Anesthesiology 1997;33(5):918-922.
DOI: https://doi.org/10.4097/kjae.1997.33.5.918   
Coagulation Status Changes during Progressive Hemodilution.
Young Soon Choi, Woo Jae Joun, Gaab Soo Kim, Tae Soo Hahm, Chung Su Kim, Baek Hyo Shin
Abstract
BACKGROUND
Hemodilution reduces the concentration of clotting factors in blood and this may induce some degree of impairment of coagulation. But there are some evidence that hemodilution may induce a hypercoagulable state. The goal of this study is to investigate the changes of coagulation status during progressive hemodilution.
METHODS
Whole Blood was diluted by 10% increment to 80% with 0.9% normal saline. At each 10% dilution blood coagulation status was analysed using thrombelastography (TEG) and was compared with that of an undiluted control specimen obtained concurrently from the same patients.
RESULTS
Hemodilutions up to 40% decrease r and K times and increase values of MA and angle. Hemodilutions more than 70% increase r and K times and decrease values of MA and angle.
CONCLUSIONS
Hemodilutions up to 40% increase coagulability and hemodilutions more than 70% decrease coagulability of whole blood in vitro.
Key Words: Blood, coagulation, hemodilution, thrombelastography


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