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Intermediate Technical IVT

hemodilution

Reduction in blood cell concentration during cardiac surgery, often from cardiopulmonary bypass priming.

Full Definition

Hemodilution refers to the decrease in the concentration of red blood cells and other blood components that occurs during cardiac surgery. This typically results from the addition of crystalloid or colloid solutions to prime the cardiopulmonary bypass circuit, effectively diluting the patient's blood. While moderate hemodilution can be beneficial by reducing blood viscosity and improving microcirculation, excessive hemodilution may impair oxygen delivery and require blood transfusion.

Usage

Usage note: Not to be confused with hemolysis, which is cell destruction rather than dilution.

In Context

  • "Acute normovolemic hemodilution was performed to minimize allogeneic blood transfusion." — Anesthesia record
  • "The patient's hematocrit dropped to 18% due to hemodilution from the bypass circuit." — Perfusion note

Also known as

blood dilution

Contrasted with

hemoconcentration

Don't confuse with

hemolysis

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