Intentional normovolemic hemodilution with autotransfusion. Report of 20 cases

Issuing from this work, it is proved that the intentional normovolemic hemodilution is a technique with numerous adventages and containing no risks. Effectively, blood economy and the possibility to compensate the per-operatory bleeding by means of auto-transfusion, make clear that the application of this technique aught to bring about a changer of the transfusional therapeutics policy, and incite doctors to modify their attitude facing any hemorrage surgery. If the intentional normovolemic hemodilution constitutes a certain place in the field of blood transfusion, there is nothing left except the intentional decrease of the hematocrit and the determining increase in the diminution of the globular loss in the course of the per-operatory haemorrhage

Anesthesia in gastroenterologic and proctologic medecine

Different anaesthetic modalitis are actualy used in gastro-enterologic medecine. These anaesthesias allow to undertake with security and confort surgical gestures [cure of fistula and anal fissure, cure of hemorroidal thrombosis and hemorroidectomy] and endoscopic procedures [perendoscopic resection of a polyp, to put an endobiliary prothesis, retrograd cholangiography and pancreatography]. The doctor anaesthesist whose presence is indispensable has the choice between general anaesthesia [intraveinous or inhalation] and loco regional anaesthesia [rachianaesthesia, epidural anaesthesia, peridural anaesthesia]. Minimum means of ventilatory and circulatory reanimation are however necessery to undertake theses anaesthesias