[Fresh autologus blood transfusion during open heart surgery (author's transl)].
Hemodynamic parameters were measured in 80 unselected patients prior to cardiopulmonary bypass for a variety of a operative procedures. Isovolemic blood withdrawel up to 24.7 ml/kg or 10 gms% and 30% hematocrit during sternotomy using ACD blood storage containers was carried out prior to bypass. Moderate hemodilution during bypass with postbypass autologous blood transfusion resulted in 60% of the study group not requiring homologous blood. The mean post-operative blood loss in this group was 245 ml. The remaining 40% received up to 1550 ml homologous blood with 820 ml mean post-operative blood loss. Omission or reduction of homologous blood requirement decreases the risk of shock lung, saves clotting factors and reduces strain on blood banking facilities.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001778:Blood Coagulation Disorders / Q000517:prevention & control; D001804:Blood Transfusion, Autologous; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass; D006438:Hemodilution; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D012128:Respiratory Distress Syndrome / Q000517:prevention & control
Erfahrungen mit der frischen, autologen Bluttransfusion bei offener Herzchirurgie.