Haematological effects of postoperative autotransfusion in spinal surgery
| Autor: | M. Ramos, M. Guerrero, R. Roy-Camille, M. Arock, Pierre Viars, Bruno Riou, Guillosson Jj, Thoreux P |
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| Rok vydání: | 1994 |
| Předmět: |
Male
Blood transfusion medicine.medical_treatment Blood Loss Surgical Fibrinogen Fibrin Fibrinogen Degradation Products Blood Transfusion Autologous Hemoglobins Humans Medicine Blood Transfusion Platelet Prospective Studies Postoperative Care Prothrombin time Intraoperative Care medicine.diagnostic_test Platelet Count business.industry General Medicine Middle Aged Spine Blood Anesthesiology and Pain Medicine Elective Surgical Procedures Anesthesia Hemostasis Female Partial Thromboplastin Time business Anaerobic exercise Forecasting Autotransfusion Partial thromboplastin time medicine.drug |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 38:336-341 |
| ISSN: | 1399-6576 0001-5172 |
| Popis: | A prospective, randomized, controlled study was performed to determine the haematological and biochemical changes and clinical safety of postoperative autotransfusion (Solcotrans Orthopedic Plus® system) in patients undergoing spinal surgery. Fifty patients were studied and were randomly allocated to Control (n = 25) and Solcotrans (n = 25) groups. Both groups had their postoperatively drained blood collected into the Solcotrans reservoir but only the Solcotrans group had this salvaged blood considered for reinfusion. After a 5–h postoperative collection period, analysis of the shed blood showed a haematocrit of 0.26± 0.11, few platelets (80 ± 63 10g1-1), a fibronogen level of less than 0.1 gl-1 and a high level of D-dimers. The salvaged blood did not clot and aerobic and anaerobic culture produced no growth. The volume of blood collected was greater than 200 ml in 21 patients in the Solcotrans group who were autotransfused (384 ± 101 ml, range 200–600 ml), and in 16 patients in the Control group. Within 15 min following completion of reinfusion of the salvaged blood there was a significant, but moderate decrease in platelet count (181 ± 74 vs 223 ± 90 108 1-1, P |
| Databáze: | OpenAIRE |
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