[Postoperative autotransfusion and transfusion evaluation in cardiac surgery].
In cardiac surgery, blood retransfusion from the thoracic drainages, though already ancient, still remains controversial either for its quantitative or its qualitative interests. A retrospective study has been conducted, between the 1st january 1992 and the 30th june 1993, over 1.655 consecutive operations. Most of the patients suffered from coronary disease (937) or a valvular disease (605), others had been operated for a combined valvular and coronary revascularization surgery (113). The safety of this technique, guaranteed by strict rules, allowed a "transfusional strategy" which tends to reduce the homologous blood consumption. Twenty-nine percent of all the patients received homologous red cells units and only 23% of the patients operated for a coronary revascularization. This strategy aims to reduce both the risks of blood transfusion and the health cost.
Menestret
P
P
Service d'Anesthésie, Réanimation Chirurgicale, CHRU Pontchaillou, Rennes.
Corbineau
H
H
Langanay
T
T
Valla
J
J
Gouezec
H
H
Sellin
M
M
Le Couls
H
H
Leguerrier
A
A
Logeais
Y
Y
Mallédant
Y
Y
D000368:Aged; D001804:Blood Transfusion, Autologous / Q000379:methods*; D006348:Cardiac Surgical Procedures; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013396:Suction; D013909:Thorax
Autotransfusion postopératoire et bilan transfusionnel en chirurgie cardiaque.