title: [Intraoperative autotransfusion in extensive orthopedic interventions].
abstract: In large orthopaedic operations massive blood losses sometimes can hardly be avoided. Apart from other autotransfusion methods (repeated preoperative withdrawal of blood or isovolaemic haemodilution) the intraoperative autotransfusion (IAT) has proved particularly useful. By means of the autotransfusion system Haemonetics Cell Saver, whose functional performance is described in the following, there was a decrease in homologous erythrocytes of 60.5 l, that is more than 300 erythrocyte concentrates. With regard to the intraoperative period the average reduction in donor blood for each patient was between 68.0 and 94.8%. Considering the compensation of postoperative blood losses there was a decrease in donor blood of between 55.6 and 66.2%. The importance of this reduction in donor blood (decreased hepatitis risk and better quality of the autologous erythrocytes) is discussed. On close and critical examination of advantages and disadvantages concerning the intraoperative autotransfusion, we have to give the preference to the Haemonetics Cell Saver, especially in the orthopaedic range.
mesh_terms: D001804:Blood Transfusion, Autologous / Q000295:instrumentation*; D006400:Hematocrit; D006622:Hip Prosthesis; D006801:Humans; D009983:Orthopedic Equipment; D013122:Spinal Diseases / Q000601:surgery*; D013123:Spinal Fusion
vernacular_title: Intraoperative Autotransfusion bei grossen orthopädischen Eingriffen.