Zum Einsatz der maschinellen Autotransfusion bei Dysgnathieoperationen in der Mund-, Kiefer- und Gesichtschirurgie

Autor: B. V. Hundelshausen, C. Wallrauch, H. J. Schneck, D. Milatovic, F. Zeilhofer, R. Wagner
Rok vydání: 1998
Předmět:
Zdroj: AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie. 33:642-647
ISSN: 1439-1074
0939-2661
DOI: 10.1055/s-2007-994825
Popis: Objective In maxillofacial surgery considerable blood loss is not uncommon. However, the use of autologous blood collected from the site of surgery is controversial. Methods Bacterial contamination of blood collected for autologous retransfusion was studied by standard microbiological methods in 25 patients undergoing elective non-malignant maxillofacial surgery. Swabs were taken from the pharynx and from the collected blood before and after routine treatment. The autologous blood was not used for transfusion. Preoperative antibiotic treatment consisted in amoxicilline plus clavulanic acid. Results The blood prepared for retransfusion was free of bacteria in only one case, while 24 samples contained up to five different bacterial species including some strains not preexistent in the pharyngeal swabs. Conclusion Blood collected from the site of operation is not suitable for retransfusion in maxillofacial surgery.
Databáze: OpenAIRE