ANAPHYLATOXIN AND TERMINAL COMPLEMENT COMPLEXES IN RED-CELL SALVAGE

被引:19
作者
BENGTSSON, A
LISANDER, B
机构
[1] Department of Anesthesiology and Intensive Care, Sahlgrens Hospital, Göteborg
关键词
Anaphylatoxins; autotransfusion; complement;
D O I
10.1111/j.1399-6576.1990.tb03098.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Thirteen patients undergoing elective orthopedic surgery were studied regarding anaphylatoxin (C3a and C5a) and terminal complement complex (TCC) formation in association with red cell salvage. The auto‐transfusion equipment gave a centrifuged and washed erythrocyte fraction. The concentrations of C5a and TCC were not increased but elevated C3a levels were found in the suspension. After infusion of the erythrocyte fraction to the patient, no signs of systemic complement activation were observed. Thus, plasma levels of C3a, C5a and TCC were within the normal range in all the patients before and after autotransfusion. This study indicates that the complement system is activated in the cellsaver equipment. The washing procedure, however, seems to eliminate most of the anaphylatoxins and terminal complement complexes. No extensive systemic activation of complement seems to occur in association with autotransfusion to patients undergoing elective surgery. © 1990 Acta Anaesthesiologica Scandinavica Fonden
引用
收藏
页码:339 / 341
页数:3
相关论文
共 21 条
[1]   COMPLEMENT ACTIVATION AND ADULT RESPIRATORY-DISTRESS SYNDROME DURING INTERMITTENT FLOW APHERESIS PROCEDURES [J].
BOOGAERTS, MA ;
ROELANT, C ;
GOOSSENS, W ;
VERWILGHEN, RL .
TRANSFUSION, 1986, 26 (01) :82-87
[2]  
BRADLEY JV, 1968, DISTRIBUTION FREE ST, P68
[3]   AIR EMBOLIZATION DURING AUTO-TRANSFUSION FOR ABDOMINAL-TRAUMA [J].
BRETTON, P ;
REINES, HD ;
SADE, RM .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1985, 25 (02) :165-166
[4]  
CAVAROCCHI NC, 1986, J THORAC CARDIOV SUR, V91, P252
[5]   COMPLEMENT ACTIVATION DURING CARDIOPULMONARY BYPASS - EVIDENCE FOR GENERATION OF C3A AND C5A ANAPHYLATOXINS [J].
CHENOWETH, DE ;
COOPER, SW ;
HUGLI, TE ;
STEWART, RW ;
BLACKSTONE, EH ;
KIRKLIN, JW .
NEW ENGLAND JOURNAL OF MEDICINE, 1981, 304 (09) :497-503
[6]   DERIVATION OF 2 DISTINCT ANAPHYLATOXIN ACTIVITIES FROM THIRD AND FIFTH COMPONENTS OF HUMAN COMPLEMENT [J].
COCHRANE, CG ;
MULLEREB.HJ .
JOURNAL OF EXPERIMENTAL MEDICINE, 1968, 127 (02) :371-&
[7]   COMPLEMENT ACTIVATION AND HYPERSENSITIVITY REACTIONS TO DIALYSIS MEMBRANES [J].
HAKIM, RM ;
BREILLATT, J ;
LAZARUS, JM ;
PORT, FK .
NEW ENGLAND JOURNAL OF MEDICINE, 1984, 311 (14) :878-882
[8]  
HEIDEMAN M, 1988, ARCH SURG-CHICAGO, V123, P188
[9]   ANAPHYLATOXIN GENERATION IN MULTISYSTEM ORGAN FAILURE [J].
HEIDEMAN, M ;
HUGLI, TE .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1984, 24 (12) :1038-1043
[10]   EFFECT OF NON-VIABLE TISSUE AND ABSCESSES ON COMPLEMENT DEPLETION AND THE DEVELOPMENT OF BACTEREMIA [J].
HEIDEMAN, M ;
SARAVIS, C ;
CLOWES, GHA .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1982, 22 (07) :527-532