Abstract
Severe hemorrhage associated with major trauma and vascular procedures is seen frequently in our operating rooms. Immediate autotransfusion has enabled us to safely and adquately correct blood losses without placing overwhelming demands on our blood bank. Since October 1973, a device capable of retrieving, filtering and reinfusing blood lost during operation has been used on 51 patients (major trauma, 20; ectopic pregnancy, 2; portacaval shunt, 9; peripheral vascular surgery, 20). From 700 to 20,000 cc's of blood were reinfused. Platelets, hematocrit, fibrinogen, free plasma hemoglobin, bilirubin, and creatinine showed no significant changes as compared to preoperative values in 39 survivors. There were 12 deaths. Eight died postoperatively as a result of their injuries, 3 of uncontrollable bleeding and one of renal failure. This study shows that autotransfusion, when used with proper operating technique, is a most satisfactory technique for restoring blood volume in severe trauma cases and elective vascular operations. This method provides a rapid, simple way of reinfusing fresh blood, free of hepatitis contamination with minimal derangement in cellular and plasma coagulation parameters.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aaron R. K., Beazley R. M., Riggle G. C. Hematologic integrity after intraoperative allotransfusion. Comparison with bank blood. Arch Surg. 1974 Jun;108(6):831–837. doi: 10.1001/archsurg.1974.01350300069017. [DOI] [PubMed] [Google Scholar]
- Bennett S. H., Geelhoed G. W., Gralnick H. R., Hoye R. C. Effects of autotransfusion on blood elements. Am J Surg. 1973 Mar;125(3):273–279. doi: 10.1016/0002-9610(73)90040-8. [DOI] [PubMed] [Google Scholar]
- Brener B. J., Raines J. K., Darling R. C. Intraoperative autotransfusion in abdominal aortic resections. Arch Surg. 1973 Jul;107(1):78–84. doi: 10.1001/archsurg.1973.01350190066017. [DOI] [PubMed] [Google Scholar]
- Duncan S. E., Edwards W. H., Dale W. A. Caution regarding autotransfusion. Surgery. 1974 Dec;76(6):1024–1030. [PubMed] [Google Scholar]
- Klebanoff G., Phillips J., Evans W. Use of a disposable autotransfusion unit under varying conditions of contamination. Preliminary report. Am J Surg. 1970 Sep;120(3):351–354. [PubMed] [Google Scholar]
- Rakower S. R., Worth M. H., Jr, Lackner H. Massive intraoperative autotransfusion of blood. Surg Gynecol Obstet. 1973 Oct;137(4):633–636. [PubMed] [Google Scholar]
- Reul G. J., Jr, Solis R. T., Greenberg S. D., Mattox K. L., Whisennand H. H. Experience with autotransfusion in the surgical management of trauma. Surgery. 1974 Oct;76(4):546–555. [PubMed] [Google Scholar]
- Symbas P. N. Autotransfusion from hemothorax: experimental and clinical studies. J Trauma. 1972 Aug;12(8):689–695. [PubMed] [Google Scholar]