Robert G. Hahn

ORCID: 0000-0002-1528-3803
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About
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Research Areas
  • Hemodynamic Monitoring and Therapy
  • Trauma, Hemostasis, Coagulopathy, Resuscitation
  • Urinary Bladder and Prostate Research
  • Cardiac, Anesthesia and Surgical Outcomes
  • Renal function and acid-base balance
  • Electrolyte and hormonal disorders
  • Prostate Cancer Diagnosis and Treatment
  • Pelvic floor disorders treatments
  • Thermoregulation and physiological responses
  • Anesthesia and Pain Management
  • Body Composition Measurement Techniques
  • Anesthesia and Sedative Agents
  • Sepsis Diagnosis and Treatment
  • Blood transfusion and management
  • Hyperglycemia and glycemic control in critically ill and hospitalized patients
  • Abdominal Surgery and Complications
  • Cardiac Arrest and Resuscitation
  • Urological Disorders and Treatments
  • Muscle and Compartmental Disorders
  • Urinary Tract Infections Management
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Blood Pressure and Hypertension Studies
  • Trauma and Emergency Care Studies
  • Hormonal and reproductive studies
  • Climate Change and Health Impacts

Karolinska Institutet
2015-2025

Danderyds sjukhus
2020-2025

Ateneo de Manila University
2025

Svenska Örtmedicinska Institute
2024

Södertälje Sjukhus
2014-2023

Creative Commons
2022

Banner - University Medical Center Tucson
2021

Grifols (United States)
2020

Glanrhyd Hospital
2020

Naval Hospital Pensacola
2019

Volume kinetics is a method used for analyzing and simulating the distribution elimination of infusion fluids. Approximately 50 studies describe disposition 0.9% saline, acetated lactated Ringer's solution, based on repeated measurements hemoglobin concentration (sometimes) urinary excretion. The slow to peripheral compartment results in 50-75% larger plasma dilution during an crystalloid fluid than would be expected if had been immediate. A drop arterial pressure induction anesthesia...

10.1097/aln.0b013e3181dcd88f article EN Anesthesiology 2010-07-07

Abstract How infusion fluids are distributed and eliminated is of importance to how much fast they should be administered. This manuscript applies population pharmacokinetic modeling intravenous infusions crystalloid fluid, which a common therapy in hospital care mandatory during surgery. The analysis was based on the hemodilution urine output measured after 262 1647 ± 461 mL (mean SD) fluid over 30 min adults. result shows that distribution from plasma interstitial space occurred twice as...

10.1002/jcph.6182 article EN cc-by-nc The Journal of Clinical Pharmacology 2025-01-07

A knowledge of the distribution different fluids given by intravenous infusion is basic to understanding effects fluid therapy. Therefore, a mathematical model was tested analyze volume kinetics three types fluids.The authors infused 25 ml/kg Ringer acetate solution, 5 6% dextran 70 in 0.9% NaCl, and 3 7.5% NaCl over 30 min 8 male volunteers aged from 36 years (mean, 31 years) measured changes total hemoglobin, serum albumin, blood water time. The were expressed as fractioned dilution then...

10.1097/00000542-199708000-00006 article EN Anesthesiology 1997-08-01

Background Major differences in plasma volume expansion between infusion fluids are fairly well known, but there is a lack of methods that express their dynamic properties. Therefore, closer description enabled by kinetic modeling presented. Methods Ten healthy male volunteers received, on different occasions, constant-rate intravenous over 30 min consisting 25 ml/kg 0.9% saline, lactated Ringer's solution, acetated 5 7.5% or 3 saline 6% dextran. One-, two-, and three-volume models were...

10.1097/00000542-200206000-00016 article EN Anesthesiology 2002-06-01

The amount of Ringer's solution needed to restore normal blood volumes is thought be three five times the volume lost. This therapy can optimized by using a kinetic model that takes accounts for rates distribution and elimination infused fluid.The authors 25 ml/kg acetate into 10 male volunteers who were 23 33 yr old (mean, 28 yr) when they normovolemic after 450 ml 900 had been withdrawn. One-volume two-volume models fitted dilution total venous hemoglobin plasma albumin...

10.1097/00000542-199901000-00013 article EN Anesthesiology 1999-01-01

To compare bipolar with the conventional monopolar transurethral resection of prostate (TURP) for blood loss and speed resection.In all, 202 consecutive patients from hospital waiting list were randomized to undergo TURP using either a system (Surgmaster TURis, Olympus, Tokyo, Japan) or (24 F, Storz, Tübingen, Germany). The during after surgery was measured photometer. Other variables compared included indices transfusion rate.There no statistically significant differences in operative...

10.1111/j.1464-410x.2009.09052.x article EN BJU International 2009-11-13

Abstract Background Volume replacement with crystalloid fluid is the conventional treatment of hemorrhage. We challenged whether a standardized amount 5% or 20% albumin could be viable option to maintain blood volume during surgery associated major Therefore, aim this study was quantify and compare plasma expansion properties albumin, Ringer-lactate, when infused surgery. Methods In single-center randomized controlled trial, therapy combat hypovolemia hemorrhagic phase cystectomy randomly...

10.1186/s13054-024-04821-6 article EN cc-by Critical Care 2024-02-05

Abstract Background Kinetic analysis of crystalloid fluid yields a central distribution volume ( V c ) the same size as expected plasma (approximately 3 L) except during general anesthesia which might be only half large. The present study examined whether this difference is due to influence intravascular albumin balance. Methods A population kinetic according three-compartment model was performed based on retrospective data from 160 infusion experiments 1–2.5 L had been infused intravenously...

10.1186/s12871-024-02494-w article EN cc-by BMC Anesthesiology 2024-03-27

Objective To study the effect of graded crystalloid fluid resuscitation on central hemodynamics and outcome after intra-abdominal hemorrhage. Methods Ten minutes a 5-mm long laceration was produced in infrarenal aorta, 32 pigs were randomized to receive either no or Ringer's solution proportion 1:1, 2:1, 3:1 expected amount blood lost per hour (26 mL kg sup -1) over 2 hours. The studied using arterial pulmonary artery catheters four flow probes placed major vessels. Results During first 40...

10.1097/00005373-199803000-00001 article EN Journal of Trauma and Acute Care Surgery 1998-03-01

Objectives To study the central and regional hemodynamics oxygen consumption during acute hypovolemia volume replacement with crystalloid colloid solutions. Design Prospective, randomized, laboratory investigation. Setting Clinical physiology department at a university hospital. Subjects Eighteen healthy male volunteers, between 21 35 yrs of age (mean 26). Interventions Catheters were inserted in cubital vein, brachial artery, pulmonary thoracic aorta, right hepatic left renal vein for...

10.1097/00003246-199704000-00013 article EN Critical Care Medicine 1997-04-01

We evaluated signs and symptoms of the transurethral resection syndrome recorded during after 273 prostatic resections performed at 2 hospitals between 1984 1993. Glycine solution was used as irrigant ethanol served a tracer for fluid absorption. The incidence severity that could possibly be related to increased progressively more glycine absorbed. Patients who absorbed 0 300 ml. had an average 1.3 such symptoms. This number 2.3 when 1,001 2,000 were absorbed, 3.1 2,001 3,000 5.8 volumes...

10.1016/s0022-5347(01)67246-x article EN The Journal of Urology 1995-07-01

Biochemical markers for the circadian rhythm were studied in patients treated at ICU (intensive care unit) of two regional hospitals. A normal is characterized by a relatively higher melatonin and lower cortisol excretion night. Disturbances affect sleep, mood cognitive performance. All urine excreted between 07:00 22:00 hours (day) (night) was collected sampled throughout entire period (median, 10 days) 16 6-SMT (6-sulphatoxymelatonin), which metabolite melatonin, free cortisol. The overall...

10.1042/cs20030374 article EN Clinical Science 2004-06-23

The absorption of irrigating fluid was measured by the ethanol method every 10 minutes during course 700 transurethral prostatic resections. total blood loss also using a photometer method. We found that determination is convenient monitoring in daily practice. Absorption excess 150 ml. detected 46% operations. volume irrigant absorbed increased with weight removed tissue, operating time and loss. uptake usually started midway through operation. Once had started, there an 87% probability it...

10.1016/s0022-5347(17)36129-3 article EN The Journal of Urology 1993-03-01

The ethanol concentration in the expired breath (EB–ethanol), volumetric fluid balance and serum sodium were measured course of 60 transurethral resections prostate which irrigating was 1.5% glycine + 1% ethanol. Measurement EB–ethanol indicated absorption irrigant at a rate more than 150 ml 10 min, as volumetrically. There significant direct linear relationship between cumulative volume absorbed (R2 = 0.83); this correlation stronger when duration taken into account 0.90). inversely related...

10.1111/j.1399-6576.1989.tb02878.x article EN Acta Anaesthesiologica Scandinavica 1989-02-01
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