THE IMPACT OF INTRAOPERATIVE AUTOTRANSFUSION ON CARDIAC-SURGERY - A PROSPECTIVE RANDOMIZED DOUBLE-BLIND-STUDY

被引：23

作者：

LAUB, GW ^{[1
]}

DHARAN, M ^{[1
]}

RIEBMAN, JB ^{[1
]}

CHEN, C ^{[1
]}

MOORE, R ^{[1
]}

BAILEY, BM ^{[1
]}

FERNANDEZ, J ^{[1
]}

ADKINS, MS ^{[1
]}

ANDERSON, W ^{[1
]}

MCGRATH, LB ^{[1
]}

机构：

[1] UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,NEW BRUNSWICK,NJ 08903

来源：

CHEST | 1993年 / 104卷 / 03期

关键词：

D O I：

10.1378/chest.104.3.686

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The effect of intraoperative autotransfusion during coronary artery bypass grafting was studied in a randomized double-blind trial involving 38 patients. Nineteen patients had the collected RBCs washed and autotransfused (autotransfusion group), while the remaining patients had their washed cells discarded (control group). Postoperative hemoglobin and hematocrit values were similar. Exposure to banked blood was markedly decreased in the autotransfusion group compared with the control group. In addition, the mean volume of banked packed RBCs transfused per patient was significantly less in the autotransfusion group compared with the control group. Platelet utilization also was markedly decreased in the autotransfusion group. Cryoprecipitate and fresh frozen plasma utilization also was less iu the autotransfusion group than in the control group, but this did not reach statistical significance. We conclude that the intraoperative use of autotransfusion decreases the volume of homologous blood products transfused, which results in reduced exposure of the patients to banked blood products.

引用

页码：686 / 689

页数：4

共 18 条

[1] BLOOD CONSERVATION DURING MYOCARDIAL REVASCULARIZATION [J].

COSGROVE, DM ;

THURER, RL ;

LYTLE, BW ;

GILL, CG ;

PETER, M ;

LOOP, FD .

ANNALS OF THORACIC SURGERY, 1979, 28 (02) :184-189

[2]

COVE H, 1977, TRANSFUSION, V16, P245

[3]

FLEMING AW, 1977, AM SURGEON, V43, P794

[4]

GIORDANO GF, 1988, J THORAC CARDIOV SUR, V96, P382

[5]

KAPLAN JA, 1977, J THORAC CARDIOV SUR, V74, P4

[6] INTRAOPERATIVE AUTO-TRANSFUSION - EXPERIENCE IN 725 CONSECUTIVE CASES [J].

KEELING, MM ;

GRAY, LA ;

BRINK, MA ;

HILLERICH, VK ;

BLAND, KI .

ANNALS OF SURGERY, 1983, 197 (05) :536-541

[7]

MATTOX KL, 1978, SURGERY, V84, P700

[8]

MORAN JM, 1978, J THORAC CARDIOV SUR, V76, P510

[9] CONVENTIONAL BLOOD CONSERVATION TECHNIQUES IN 500 CONSECUTIVE CORONARY-ARTERY BYPASS OPERATIONS [J].

OVRUM, E ;

HOLEN, EA ;

ABDELNOOR, M ;

OYSTESE, R .

ANNALS OF THORACIC SURGERY, 1991, 52 (03) :500-505

[10]

PILAM MV, 1975, J THORAC CARDIOVASC, V70, P338

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