Volume Therapy
Volume therapy, or infusion therapy, is used worldwide for the treatment of perfusion disorders, particularly for hypovolemia. In addition to anesthesia, volume therapy is used to improve microcirculation in neurological, neurosurgical, otorhinolaryngolog
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J. Treib (Ed.)
Volume Therapy With 50 Figures and 26 Tables
With Contributions by J.Boldt, D. J. Cole, F. Cortbus, M T. Grauer, A. Haass, H. Iro E. T. Riley, K. W. Ruprecht, R. Schell, V. Scherer, W. I. Steudel G. Stier, F. Waldfahrer
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Springer
Johannes Treib, Priv.-Doz. Dr. med. Universitatskliniken des Saarlandes Neurologische Klinik Kirrbergerstra6e D-66421 Homburg/Saar
ISBN-13: 978-3-642-64054-4 e-ISBN-13: 978-3-642-59621-6 DOl: 10.1007/978-3-642-59621-6
Springer-Verlag Berlin Heidelberg New York Library of Congress Cataloging-in-Publication Data Volume Therapy/Johannes Treib, editor. p. cm. Includes bibliographical references and index. ISBN 3-540-65749-5 (hardcover: alk. paper) 1. Infusion therapy. 2. Blood plasma substitutes. 1. Treib, J. (Johannes), 1965·. RM170. V65 1999 615'. 39--dc21 99-42741
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Softcover reprint of the hardcover 1st edition 2000 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: design & production, Heidelberg Typesetting: Goldener Schnitt, Sinzheim SPIN: 10702696 18/3134 5 43 2 1 0 - Printed on acid-free paper
Preface
Volume therapy or infusion therapy is used worldwide for the treatment of hypovolemia caused by surgical blood and plasma losses, trauma, burns, or infections. Interestingly, significant differences exist between countries regarding the use of plasma substitutes. In the United States, crystalloids and albumin are more popular, whereas in Europe artificial colloids such as hydroxyethyl starch are preferred. From an international perspective, it is notable that volume therapy using hydroxyethyl starch is an established therapy for the treatment of cerebral, retinal, otogenic, and peripheral circulation disorders in Germany. In other countries, crystalloids are mostly used to treat dehydration or hypovolemia, for example in brain stroke. In recent years, new data made it possible to overcome