[Safety criteria for blood refusion in military field surgery and trauma surgery].

Autor: Samokhvalov IM, Karev EA, Badalov VI, Nemchenko NS, Vasil'ev MA, Zhirnova NA, Meshakov DP, Litvinenko SG, Golovko KP, Denisov AV, Dmitrieva EV
Jazyk: ruština
Zdroj: Voenno-meditsinskii zhurnal [Voen Med Zh] 2014 Mar; Vol. 335 (3), pp. 26-30.
Abstrakt: Massive intracavitary hemorrhage in case if severe concomitant injury is the most frequent cause of death. Necessity of blood loss replacement requires effective and safe methods. One of them is blood reinfusion - technically less complicated method. The article shows advantages of using the hardware and filtration methods of blood sampling and reinfusion, developed scale rapid diagnosis of the level of hemolysis of autologous blood. Using of the method of filtration blood sampling provides 2X minimal amount of free hemoglobin than using an aspirator and reinfusion of blood with the contents therein to free hemoglobin 2.0g/ L prevents the risk of developing the syndrome and massive blood transfusion reduces the incidence of deaths at 11%. In patients with massive intracavitary hemorrhage it is advisable to use the method of semi-quantitative rapid analysis of free hemoglobin color scale.
Databáze: MEDLINE