Autologous Blood Transfusion During Emergency Trauma Operations

Brown, Carlos; Foulkrod, Kelli H.; Sadler, H.; Richards, Edward; Biggan, Dennis P.; Czysz, Clea; Manuel, Tony

doi:10.1001/archsurg.2010.113

Cited by 39 publications

(50 citation statements)

References 15 publications

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“…Another barrier to the use of such a procedure would be a worsening of coagulopathy in a patient with active bleeding. According to Brown et al 21 , their studies suggested the opposite, stating that patients in the control group received more units of plasma than reinfused ones. The same can be observed in a the work of Bowley et al 26 , in which there were no significant differences between the groups analyzed.…”

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confidence: 99%

“…The total cost of autotransfusion was US$ 63,252.00. If the same amount of blood were to transfused with blood products, the cost would be around US$ 114,523.00, a saving of around 45% 20,21 . A study by Brown et al 21 in 2010 showed that autotransfusion had a cost of US$ 1,616 per patient.…”

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confidence: 99%

“…If the same amount of blood were to transfused with blood products, the cost would be around US$ 114,523.00, a saving of around 45% 20,21 . A study by Brown et al 21 in 2010 showed that autotransfusion had a cost of US$ 1,616 per patient. Individuals undergoing only allogeneic transfusion had a cost of $ 2,584 per patient 21 .…”

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confidence: 99%

“…A study by Brown et al 21 in 2010 showed that autotransfusion had a cost of US$ 1,616 per patient. Individuals undergoing only allogeneic transfusion had a cost of $ 2,584 per patient 21 . Finally, there is no longer whole blood, the blood transfused in the operating room being the PRBC, thick and of slow infusion.…”

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confidence: 99%

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Transoperative refusion: a simple and safe method in emergency surgery

Gusmão

Valões

Neto³

2014

Rev. Col. Bras. Cir.

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Transoperative refusion: a simple and safe method in emergency Transoperative refusion: a simple and safe method in emergency Transoperative refusion: a simple and safe method in emergency Transoperative refusion: a simple and safe method in emergency Transoperative refusion: a simple and safe method in emergency surgery surgery surgery surgery surgery Reinfusão transoperatória: um método simples e seguro na cirurgia de Reinfusão transoperatória: um método simples e seguro na cirurgia de Reinfusão transoperatória: um método simples e seguro na cirurgia de Reinfusão transoperatória: um método simples e seguro na cirurgia de Reinfusão transoperatória: um método simples e seguro na cirurgia de emergência emergência emergência emergência emergência LUIZ CARLOS BUARQUE GUSMÃO, TCBC AL 1 ; SÉRGIO HENRIQUE CHAGAS VALOES 2 ; JOSÉ DA SILVA LEITÃO NETO 3 ABSTRACT ABSTRACT ABSTRACT ABSTRACT ABSTRACTThe objective is to reinforce the importance of blood reinfusion as a cheap, safe and simple method, which can be used in small hospitals, especially those in which there is no blood bank. Moreover, even with the use of devices that perform the collection and filtration of blood, more recent studies show that the cost-benefit ratio is much better when autologous transfusion is compared with blood transfusions, even when there is injury to hollow viscera and blood contamination. It is known that the allogeneic blood transfusion carries a number of risks to patients, among them are the coagulation disorders mediated by excess enzymes in the conserved blood, and deficiency in clotting factors, mainly the Factor V, the proacelerin. Another factor would be the risk of contamination with still unknown pathogens or that are not investigated during screening for selection of donors, such as the West Nile Fever and Creutzfeldt-Jacob, better known as "Mad Cow" disease. Comparing both methods, we conclude that blood autotransfusion has numerous advantages over heterologous transfusion, even in large hospitals. We are not against blood transfusions, just do not agree that the patient's own blood is discarded without making sure there will be enough blood in stock to get him out of the hemorrhagic shock. Blood reinfusion is a method consisting in the reintroduction of blood lost by the patient at any bleeding, in the pre, per and post-operative, and accumulated in the thoracic or abdominal cavities. Its is collected by various means and immediately reintroduced into the patient's circulation 1 . It is, therefore, an autologous transfusion, which differentiates it from the other homologous transfusions [2][3][4][5] . Currently, we highlight the main means of reinfusion usage: intraoperative, made with blood accumulated in serous cavities (hemoperitoneum and hemothorax); intraoperative, made with blood collected during surgical procedures; postoperative (using blood collected in surgical drains); of blood contained in the organs excised during surgery 1,3,6 . This method is used primarily in splenectomies, and should not be used on infected or...

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confidence: 99%

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confidence: 99%

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Transoperative refusion: a simple and safe method in emergency surgery

Gusmão

Valões

Neto³

2014

Rev. Col. Bras. Cir.

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“…In 2010, reporting on a study from a level 1 trauma centre in the USA, Brown and colleagues described 47 patients undergoing surgery after injury who received IBS and autologous blood transfusion 10. Patients were compared with 47 similar patients who underwent similar surgeries (mostly laparotomies) and required transfusion, but who did not receive cell salvage as part of their resuscitation.…”

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confidence: 99%