[The role of the Cell Saver autologous transfusion method in preventing the pulmonary distress syndrome during open-heart operations on children].
Complex estimation of the state of the lungs at the postperfusion and early postoperative periods based on roentgenological, clinical data, investigations of the parameters of oxygenation and mechanics of respiration was carried out in 32 children with septal defects of the heart, operated upon under conditions of artificial blood circulation with different kinds of the transfusion maintenance including the apparatus "Cell Saver 5" (CS) for the reinfusion of autoerythrocytes. The dynamics of endotoxicosis, hematological parameters during and after operation and requirements in transfusion media were studied. Differences in these indicators were established between the patients operated upon with the use of donor hemocomponents and those who were operated upon with CS. It allowed a conclusion about the role of the method of intraoperative reinfusion of erythrocytes in substantially less frequency and severity of the postperfusional pulmonary complications in this category of patients.
Uglov
F G
FG
Gritsenko
V V
VV
Doĭnikov
D N
DN
Mochalov
O Iu
OIu
Dubikaĭtis
P A
PA
Kuznetsov
S V
SV
Senchik
K Iu
KIu
Bodunova
L S
LS
D001804:Blood Transfusion, Autologous / Q000295:instrumentation / Q000379:methods*; D006348:Cardiac Surgical Procedures; D002648:Child; D017707:Erythrocyte Transfusion / Q000295:instrumentation / Q000379:methods*; D005112:Extracorporeal Circulation / Q000295:instrumentation / Q000379:methods; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000097:blood / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000097:blood / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care / Q000295:instrumentation / Q000379:methods*; D008297:Male; D011183:Postoperative Complications / Q000097:blood / Q000209:etiology / Q000517:prevention & control*; D012131:Respiratory Insufficiency / Q000097:blood / Q000209:etiology / Q000517:prevention & control*; D012307:Risk Factors
Rol' autotransfuzionnoĭ metodiki "Cell Saver" v profilaktike legochnogo distress-sindroma pri operatsiiakh na otkrytom serdtse u deteĭ.