Intraoperative Autologous Blood Transfusion in Intracranial Surgery

Cataldi, Sophie; Bruder, Nicolas; Dufour, Henry; Lefèvre, Patrick; Grisoli, F; François, G.

doi:10.1097/00006123-199704000-00021

Cited by 47 publications

(19 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Notable questions for the future include the exact role of transfusion-sparing practices such as cell salvage or acute normovolemic hemodilution [6], and whether or not they may be associated with improved neurological outcomes compared with allogeneic transfusion. It cannot be stressed strongly enough, however, that these targets may need to be modified or revised in the context of significant comorbidities such as coronary artery disease or hypoxemia.…”

Section: Discussionmentioning

confidence: 99%

Red blood cell transfusion in neurosurgery

et al. 2012

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Red blood cell transfusion in neurosurgery

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Cataldi et al [3] proved these results; they analyzed 427 operations: 90 needed blood transfusions, in 55 cases BS was used, and only 10 of these needed additional banked blood. A special indication for BS is the correction of scaphocephalus, which is performed in children younger than 1 year.…”

Section: Clinical Studiesmentioning

confidence: 93%

Intraoperative Blood Salvage in Special Surgical Procedures and Diseases

Dietrich¹

2002

Transfus Med Hemother

View full text Add to dashboard Cite

There are only few recommendations concerning the use of intraoperative and postoperative blood salvage (BS) in special surgical procedures and diseases. The value of BS was estimated considering the literature concerning neurosurgery, cesarian section, resection of the prostate, leukemia, plasmocytoma, and hereditary anemias. In principle, BS is beneficial in all of these situations. In cesarian sections autologous blood may contain fetal cells and amniotic fluids. Therefore BS should be restricted to emergencies. In resections of the prostate, difficulties may occur because of the contamination with bacteria and malignant cells. In hereditary anemias the quality of banked blood is superior to that of autologous red blood cells. Nevertheless, in sickle cell anemia BS may be beneficial in patients undergoing major surgery.

show abstract

“…IAT has been shown to work efficiently in major orthopedic 9,12,31 , cardiac 32 , urologic 33,34 , vascular 27 , intracranial 35 and gynecological 36 surgery and in emergency procedures, such as spinal trauma 37 . However, because of the wide variety of surgical, patient-related and institutional factors, it is difficult to define specific surgical procedures where IAT should always be used, and the overall blood salvage may not cover more than 25% of all perioperative blood losses 5,12 .…”

Section: Indicationsmentioning

confidence: 99%

Intraoperative Autotransfusion of RBC and PRP

Gombotz

Kulier

1999

Transfus Alt Transfus Med

View full text Add to dashboard Cite

IntraoperativeAutotransfusion of RBC and PRP TATM 1999;3:5-13 • Intraoperative autotransfusion In addition, IP may be used when other autologous whole blood harvesting techniques are not an option. DEPARTMENT OF ANESTHESIOLOGY AND INTENSIVE CARE UNIVERSITY OF GRAZ GRAZ, AUSTRIATransfusion Alternatives in Transfusion Medicine VOLUME 1 NUMBER 3 DECEMBER 1999 Background summaryIntraoperative autotransfusion (IAT) is defined as the reinfusion of patient blood salvaged during and after surgery. IAT plays an important role in the context of perioperative blood saving strategies, having gained standard-of-care status in many surgical procedures 1,6 .The principle of IAT is to collect intraor postoperatively shed blood continuously from the operative field. The salvaged blood is aspirated from the wound site and collected in a dedicated reservoir. Under standard conditions, red cells are subsequently separated, washed, concentrated and stored for later retransfusion to the patient. Only erythrocytes are saved and retransfused; simultaneous volume and plasma replacement has to be provided, especially after processing of large quantities of shed blood 4 .In contrast to stored RBCs, freshly salvaged autologous red cells show uncompromized functional capacity, oxygen delivery to tissues and survival, indicating that IAT has no significant detrimental effects on erythrocytes 7,8 . IAT is most effective when combined with other autologous methods, particularly with preoperative autologous blood donation, acute normovolemic hemodilution or adjuvant drug therapies 4, 9, 10 . Methods Cell separation (washed blood)This technique is based on centrifugation, separating red blood cells (RBCs) from the lighter components and fluids, including plasma, saline and the buffy coat (Cell Saver, Haemolite ® , Haemonetics TM , Braintree, MA; Figure 1). Before starting the procedure, the operator must fill the system with 100-200 mL heparinized saline ("priming"), in order to prevent cells from binding to membrane surfaces initiating microaggregation, and to diminish frictional forces and damage to the cellu- Figure 1lar components 4,8 . Blood released at the wound site is aspirated via a double-lumen suction catheter (80-100 mm Hg), immediately anticoagulated (30,000 IU heparin in 1000 mL saline) at the suction tip, and stored in a plastic cardiotomy reservoir, equipped with a 120 µm microaggregate filter. When a minimum of 1000 mL shed blood is collected, it is pumped into a rotating separation chamber (Latham bowl, 225 mL adaptable capacity), washed with 1000-1500 mL saline and concentrated. Whenever the extent or kind of surgical debris requires more extensive washing, processing cycles can be selected manually, and in emergency cases, washing can be skipped entirely. For pediatric patients, smaller centrifuges are available. As soon as the preset hematocrit is reached, the spinning separator chamber stops, and packed RBCs, suspended in saline solution, are pumped into an infusion bag, while the waste products are removed 4, 11 . Afte...

show abstract

Intraoperative Autologous Blood Transfusion in Intracranial Surgery

Cited by 47 publications

References 22 publications

Red blood cell transfusion in neurosurgery

Red blood cell transfusion in neurosurgery

Intraoperative Blood Salvage in Special Surgical Procedures and Diseases

Intraoperative Autotransfusion of RBC and PRP

Contact Info

Product

Resources

About