[Blood salvage: a conditional safety].
Recovery of shed blood is part of the allogenic blood saving policy of particular importance even though the risk of viral infection via transfusion has been considerably reduced. Blood transfusion requirements in vascular surgery are discussed together with alternatives to allogenic transfusion. Differed withdrawal of autologous blood can involve pre-operative autologous plasmapheresis and cytapheresis. Per-operative haemodilution is another variant of pre-operative isovolemic haemodilution and erythrocytapheresis. Recovery of shed blood can be done with or without lavage. Technical and pharmacologic measurements complete the method. Simultaneous use of different techniques can be useful. Recovery is particularly interesting in highly haemorhagic vascular procedures or those which must be done quite rapidly. Care must be taken to avoid the "recovery syndrome". Improvement in material will assure safety.
Andreassian
B
B
Service de Chirurgie Thoracique et Vasculaire, Hôpital Beaujon, CLICHY.
Denninger
M H
MH
D001804:Blood Transfusion, Autologous; D006801:Humans; D019106:Postoperative Hemorrhage / Q000628:therapy; D011300:Preoperative Care / Q000379:methods*; D012307:Risk Factors; D065227:Transfusion Reaction; D014656:Vascular Surgical Procedures / Q000009:adverse effects
Récupérateurs de sang: une sécurité conditionnelle.