Correlation of coagulopathy and pulmonary insufficiency with blood transfusion in spinal fusions.
In a review of 210 spinal fusions, the platelet count and the arterial-alveolar oxygen tension ratio both decreased as the blood transfused increased, but were not correlated with positive fluid balance. In procedures that might require more than 70-80 ml/kg of blood, such as myelodysplastic, paralytic, and congenital spinal surgery, the coagulation system and arterial gases should be monitored frequently intraoperatively and postoperatively.
D000328:Adult; D001778:Blood Coagulation Disorders / Q000209:etiology*; D001784:Blood Gas Analysis; D005260:Female; D006801:Humans; D010976:Platelet Count; D012131:Respiratory Insufficiency / Q000209:etiology*; D012600:Scoliosis / Q000601:surgery; D013123:Spinal Fusion; D065227:Transfusion Reaction