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[Scheduled autotransfusion in orthopedic surgery]
C Aguilar1, A de Santos, M V Sarrión
1Servicio de Anestesiología y Reanimación, Hospital Universitario San Carlos, Madrid.
Revista Espanola De Anestesiologia Y Reanimacion
|January 1, 1992
Summary
Programmed autotransfusion effectively compensated for blood loss in 17 of 22 orthopedic surgery patients, utilizing 81.7% of their own blood. This method shows promise for future hemotransfusion in elective procedures.
Area of Science:
- Medicine
- Surgery
- Hematology
Background:
- Blood loss during orthopedic surgery often necessitates transfusions.
- Autotransfusion strategies aim to reduce reliance on homologous blood products.
Purpose of the Study:
- To evaluate the efficacy of a programmed autotransfusion protocol in orthopedic surgery.
- To assess the impact on hematologic parameters and the need for homologous blood.
Main Methods:
- A programmed autotransfusion protocol was applied to 22 patients undergoing orthopedic surgery.
- Hematologic data (hemoglobin, hematocrit, MCV, MCH) were compared pre- and post-operatively.
- Blood volume from autotransfusion and homologous blood transfusions were recorded.
Main Results:
- 81.7% of the total blood volume used was autologous, sufficient for 17 patients.
- Significant statistical differences were observed in hemoglobin, hematocrit, mean corpuscular hemoglobin, and mean corpuscular volume.
- 18.3% of the blood volume transfused was homologous.
Conclusions:
- Programmed autotransfusion is an effective method for managing blood loss in elective orthopedic surgery.
- This approach can significantly reduce the need for homologous blood transfusions.
- Programmed autotransfusion represents a potential future standard for hemotransfusion in planned surgical interventions.