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[Major interventions in vascular surgery with and without autotransfusion. Comparison of coagulation and hemodynamic
P Bianciardi1, E M Bortolani, P L Vandone
1Istituto di Chirurgia Generale e Cardiovascolare, Università degli Studi di Milano.
Abstract:
Twenty out of 32 patients undergoing major vascular surgery received autologous blood transfusion and hemostatic and hematological parameters were evaluated in both transfused and non-transfused groups. Blood and urine samples were also analysed. No acceleration of the hemostatic process was observed during either surgery or the postoperative period; free hemoglobin present in reinfusion sacks (?), even in high doses, was immediately restored to normal values in the patient's circulation. A slight effect was observed at the renal level alone. These findings confirm the good qualitative level of the procedures used to reinfuse blood lost during surgery.