[Intraoperative autotransfusion. Reinfusion of erythrocytes in total hip arthroplasty reduces the need for blood from banks].
We have tested a cell-saver system, which collects, washes, concentrates and filtrates red blood cells before autotransfusion. The study consisted of 35 consecutive patients who had a total hip arthroplasty (THA), 18 using the cell-saver and 17 not using it. There was no significant difference in the peroperative bleeding, or in the total blood loss. The median blood loss was 1950 ml (925-6337 ml) in the cell-saver group and 2350 ml (1260-4440 ml) in the control group. The need for homologous transfusion was significantly higher in the control group compared to the cell-saver group, median 500 vs 250 ml of sag-M blood. This difference is of the same magnitude as the amount of autotransfused red blood cells suspended in saline water, median 398 ml. In the cell-saver group nine patients did not need any homologous transfusions at all, whereas in the control group only one did not need any transfusion.
Ernst
C
C
Ortopaedkirurgisk afdeling, Centralsygehuset i Esbjerg.
Röck
N D
ND
Ahlquist
S E
SE
Frandsen
P A
PA
D000328:Adult; D000368:Aged; D001800:Blood Specimen Collection / Q000379:methods; D001804:Blood Transfusion, Autologous / Q000379:methods; D017707:Erythrocyte Transfusion / Q000379:methods; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
Intraoperativ autotransfusion. Genanvendelse af erytrocytter giver nedsat forbrug af bankblod ved total hoftealloplastik.