Intraoperative autotransfusion in blunt abdominal trauma.
We have used intraoperative autotransfusion in three cases of massive intraabdominal hemorrhage following blunt trauma. Based on this experience we recommend that: (1) To prevent sudden collapse the abdomen should be decompressed slowly through a small incision while blood is collected into the autotransfusion reservoir; (2) A skilled person is required to operate the autotransfusor; and (3) To prevent consumption coagulopathy, autotransfusion must be supplemented by the use of blood components, especially fresh frozen plasma.
D000007:Abdominal Injuries / Q000150:complications*; D001780:Blood Coagulation Tests; D001804:Blood Transfusion, Autologous; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007430:Intraoperative Care; D014949:Wounds, Nonpenetrating / Q000150:complications*