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[Autotransfusion in acute hemoperitoneum]
Journal De Chirurgie
|January 1, 1975
Summary
Autotransfusion is a viable emergency procedure, but red blood cells degrade quickly. Careful technique is crucial to mitigate risks like hemolysis and contamination.
Area of Science:
- Transfusion Medicine
- Surgical Hemostasis
Context:
- Autotransfusion, a well-documented procedure with a low complication rate.
- Evaluation of autotransfusion efficacy in managing hemoperitoneum.
Purpose:
- To assess the quantitative validity and qualitative changes of red blood cells obtained through autotransfusion.
- To determine the clinical tolerance and limitations of autotransfusion in emergency settings.
Summary:
- Autotransfusion yielded quantitatively valid red blood cells in 9 hemoperitoneum cases.
- Significant hemolysis occurred within 6 hours, with early loss of platelets and coagulation factors within 2 hours.
- Despite rapid cellular degradation, clinical tolerance was perfect, aligning with animal study results.
Impact:
- Highlights the limitations of autotransfusion, primarily early hemolysis and potential contamination.
- Suggests that with proper equipment, indications, and fresh blood (<24 hours old), autotransfusion can be a valuable emergency solution.