[Peroperative autologous transfusion in cardiac surgery. Course, medical and economic evaluation. Prospects].
The authors report their experience since 1979 in the utilization of a system for blood salvaging in cardiac surgery. An initial comparative study showed that the patient group in which blood salvaging was used, received only 0.8 unit of red cells per patient and per hospitalisation and 50% of patients required no transfusion. In the patients receiving ATS, postoperative bleeding was significantly decreased. To confirm the advantages of the technique, a group of 200 patients was studied, consisting of 28 children and 172 adults. Hemodilution was difficult to perform in children weighing less than 15 kg. Nevertheless, ATS allowed for a significant reduction in the number of red cell units transfused. In the adult group, homologous blood consumption was 0.3 unit per patient and per hospitalization. 83% of the patients received no red cells, and 93% had no need for FFP. This reduction in homologous blood transfusion ensures a reduction in the transfusional risk. An improvement in these results will be obtained by a better organization of preoperative ATS and of the retrieval of postoperative blood.
Gaillard
D
D
Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital Saint-Joseph, Paris.
Robinault
J
J
Bical
O
O
Vanetti
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001804:Blood Transfusion, Autologous / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D006348:Cardiac Surgical Procedures; D002648:Child; D005069:Evaluation Studies as Topic; D006801:Humans; D007432:Intraoperative Period; D008875:Middle Aged
Transfusion autologue per-opératoire en chirurgie cardiaque. Evolution, bilan médical et économique. Perspectives.