Limited effectiveness of intraoperative autotransfusion in major back surgery.
Eur J Anaesthesiol
; 18(12): 823-8, 2001 Dec.
Article
em En
| MEDLINE
| ID: mdl-11737182
ABSTRACT
BACKGROUND AND OBJECTIVE:
The efficiency of intraoperative autotransfusion in scoliosis surgery is poorly known but needs to be evaluated, not least because of the large blood losses in these patients. This is a retrospective analysis of transfusion requirements of 43 such patients.METHODS:
Records from 43 patients were studied. During surgery, the shed blood was salvaged and washed in an autotransfusion device (AT1000 Autotransfusion Unit) and a suspension of red cells was reinfused.RESULTS:
Fifty-eight per cent of the intraoperative blood loss was salvaged. The total blood loss during the patients' hospital stay was calculated from the haemoglobin balance; 24% of this loss was salvaged by the device. Moreover, 36 of the patients needed allogeneic blood transfusion.CONCLUSION:
The efficiency of the autotransfusion device was relatively low in relation to the total extravasation, mainly because the postoperative blood loss is substantial.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Coluna Vertebral
/
Transfusão de Sangue Autóloga
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Eur J Anaesthesiol
Assunto da revista:
ANESTESIOLOGIA
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Suécia