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Emergency autotransfusion in hypovolemia
Critical Care Nursing Clinics of North America
|June 1, 1990
Summary
Autotransfusion, collecting and reinfusing a patient's own blood, is increasingly used for hypovolemia, especially from hemothorax. This method offers compatibility and avoids disease transmission, proving beneficial in chest trauma management.
Area of Science:
- Emergency Medicine
- Surgical Techniques
- Transfusion Medicine
Background:
- Hypovolemia management is critical in emergency medicine.
- Autotransfusion is regaining favor as a therapeutic option.
- Hemothorax is a common indication for autotransfusion.
Purpose of the Study:
- To highlight the benefits of autotransfusion in managing hypovolemia.
- To emphasize the practical advantages of using autologous blood in chest trauma.
- To advocate for the consideration of autotransfusion in emergency departments.
Main Methods:
- Collection of blood from hemothorax.
- Anticoagulation of collected blood.
- Retransfusion of autologous blood.
Main Results:
- Autotransfusion from hemothorax is the most common application.
- Key advantages include patient-specific compatibility and no delay for crossmatching.
- Eliminates the risk of disease transmission associated with homologous blood.
Conclusions:
- Autologous blood transfusion is a practical and beneficial adjunct in chest trauma.
- It complements traditional fluid and homologous blood therapies.
- Emergency departments should consider incorporating autotransfusion protocols.