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[Autotransfusion in vascular surgery].

M Tola1, A Portoghese, M Talloru

  • 1USL n. 21 Cagliari, Divisione di Chirurgia d'Urgenza, Università di Cagliari.

Minerva Chirurgica
|November 1, 1990
PubMed
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This study on 51 vascular patients found that intraoperative autotransfusion using at least 750 cc of reinfused blood led to early decreases in hematocrit, hemoglobin, red blood cell count, fibrinogen, and platelet count without causing significant coagulation disorders.

Area of Science:

  • Cardiovascular Surgery
  • Hematology
  • Anesthesiology

Context:

  • Peripheral vascular disease management
  • Intraoperative blood management
  • Autotransfusion techniques

Purpose:

  • To evaluate the hematological effects of intraoperative autotransfusion in vascular surgery patients.
  • To assess coagulation status following significant blood reinfusion.

Summary:

  • Fifty-one patients with peripheral vascular disease underwent intraoperative autotransfusion, receiving a minimum of 750 cc of reinfused blood.
  • Early reductions in hematocrit (Hct), hemoglobin (Hb), red blood cell (RBC) count, fibrinogen, and platelet (Plt) count were observed post-procedure.
  • No significant coagulation disorders were identified despite the observed hematological changes.

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Impact:

  • Provides insights into the expected hematological changes after substantial autotransfusion in vascular surgery.
  • Informs clinical practice regarding monitoring and management of blood parameters in patients undergoing autotransfusion.
  • Highlights the safety of autotransfusion regarding coagulation in this patient cohort.