BLOOD CONSERVATION AND AUTOTRANSFUSION IN CARDIAC-SURGERY

被引:11
作者
KHAN, RMA
SIDDIQUI, AMA
NATRAJAN, KM
机构
[1] Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, Lancashire
关键词
D O I
10.1111/j.1540-8191.1993.tb00573.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Blood conservation techniques of withdrawal of blood just before surgery, intraoperative blood salvage with Solcotrans (Solco Basle [UK] Ltd.), and profound hemodilution were used in 14 patients undergoing open heart surgery (group I) and compared with equally matched 14 patients who had profound hemodilution only during cardiopulmonary bypass (CPB) and acted as controls (group II). Group I patients required a mean of 255 mL of homologous blood per patient to achieve a target hemoglobin of 8 g/dL compared to group II patients who required a mean of 1,011 mL per patient (p = 0.0001). By using autologous blood there was a marked reduction in homologous blood exposure. Eight patients in group I and two patients in group II required no homologous blood. No adverse events occurred. In the process of conservation of blood in open heart surgery, we found the combination of the above techniques used in Group I patients to be safe and effective.
引用
收藏
页码:25 / 31
页数:7
相关论文
共 26 条
[1]  
Highmore W, Practical remarks on an overlooked source of blood supply for transfusion in post‐par‐tum haemorrhage, Lancet, 1, pp. 89-90, (1874)
[2]  
Britton LW, Eastlund DT, Dziuban SW, Et al., Predonated autologous blood use in elective cardiac surgery, Ann Thorac Surg, 47, pp. 529-532, (1989)
[3]  
Love TR, Henderson WG, O'Keefe DD, Et al., Transfusion of predonated autologous blood in elective cardiac surgery, Ann Thorac Surg, 43, pp. 508-512, (1987)
[4]  
Solem JO, Olin C, Tengborn L, Et al., Postoperative autotransfusion of concentrated drainage blood in cardiac surgery—Experience with a new autotransfusion system, Scand J Thorac Cardiovasc Surg, 21, pp. 153-157, (1987)
[5]  
Cosgrove DM, Amiot DM, Meserko JJ, An improved technique for autotransfusion of shed mediastinal blood, Ann Thorac Surg, 40, pp. 519-520, (1985)
[6]  
Hunt BJ, Yacoub M, Aprotonin and cardiac surgery, BMJ, 303, pp. 660-661, (1991)
[7]  
Clifford PC, Kruger AR, Smith A, Et al., Salvage autotransfusion in aortic surgery—Initial studies using a disposable reservoir, Br J Surg, 74, pp. 755-757, (1987)
[8]  
Roche JK, Stengle JM, Open‐heart surgery and the demand for blood, J Am Med Assoc, 225, pp. 1516-1522, (1973)
[9]  
Russell GN, Peterson S, Harper SJ, Et al., Homologous blood use and conservation techniques for cardiac surgery in the United Kingdom, BMJ, 297, pp. 1390-1391, (1988)
[10]  
Cosgrove DM, Thurer RL, Lytle BW, Et al., Blood conservation during myocardial revascularization, Ann Thorac Surg, 28, pp. 184-189, (1979)