[Autotransfusion by peroperative recuperation in neurosurgery. Preliminary study apropos of 40 cases].
Preliminary results of autotransfusion by peroperatory recuperation and washing of red blood cells in neurosurgery using the Cell Saver IV Haemonetics are reported. The goals of the study were the confirmation of the feasibility and innocuousness of the technique, and the evaluation of its role in the economy of homologous blood derivatives. Our series includes 40 patients with benign cerebral or spinal lesions selected on the basis of a significant hemorrhagic risk. The activation of peroperatory recuperation is rapid and can be undertaken in extreme emergencies. It represents, even in elective surgery, a safety factor for the patient and the surgical team. The washing and the means of retransfusion by gravity eliminates all the inconveniences of preceding generations of these systems, particularly systemic residual anticoagulation, overload of free hemoglobin, blood coagulation problems and air embolism. In our study the number of unites recuperated is significant by reason of the selection modality of patients according to hemorrhagic risk. For its part, autotransfusion represented 68.71% of transfused red blood cells and 44.27% of the entirely of blood derivatives used. The risk of infectious disease transmission was reduced for all these patients, it was annulled for 45% of them. In our study, autotransfusion by recuperation and washing of red blood cells in neurosurgery improves the safety of patients and allows for an important reduction in the use of homologous blood derivatives. This final result is even more effective through association, given the same patient, of several autotransfusion techniques.
Lefèvre
P
P
Unité d'Hemaphérèse et d'Autotransfusion, Hôpital de la Conception, Marseille.
Begou
D
D
Vincentelli
F
F
Durand
J M
JM
Grazzani
N
N
Merlhe
G
G
Grisoli
F
F
D000328:Adult; D000368:Aged; D001804:Blood Transfusion, Autologous / Q000379:methods*; D005260:Female; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D007432:Intraoperative Period; D008159:Lumbar Vertebrae / Q000293:injuries; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008875:Middle Aged; D009493:Neurosurgery; D013813:Therapy, Computer-Assisted; D014652:Vascular Diseases / Q000601:surgery*
L'autotransfusion par récupération peropératoire en neurochirurgie. Etude préliminaire à propos de 40 malades.