[Use of mechanical autotransfusion in maxillofacial surgery in the mouth, jaw and face].
OBJECTIVE
In maxillofacial surgery considerable blood loss is not uncommon. However, the use of autologous blood collected from the site of surgery is controversial.


METHODS
Bacterial contamination of blood collected for autologous retransfusion was studied by standard microbiological methods in 25 patients undergoing elective non-malignant maxillofacial surgery. Swabs were taken from the pharynx and from the collected blood before and after routine treatment. The autologous blood was not used for transfusion. Preoperative antibiotic treatment consisted in amoxicilline plus clavulanic acid.


RESULTS
The blood prepared for retransfusion was free of bacteria in only one case, while 24 samples contained up to five different bacterial species including some strains not preexistent in the pharyngeal swabs.


CONCLUSIONS
Blood collected from the site of operation is not suitable for retransfusion in maxillofacial surgery.
Wagner
R
R
Institut für Anaesthesiologie, Technischen Universität München.
von Hundelshausen
B
B
Milatovic
D
D
Wallrauch
C
C
Zeilhofer
F
F
Schneck
H
H
D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis; D001419:Bacteria / Q000302:isolation & purification; D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous / Q000379:methods*; D019818:Clavulanic Acid / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005145:Face; D005260:Female; D006801:Humans; D007568:Jaw; D008297:Male; D009055:Mouth; D019647:Oral Surgical Procedures; D010614:Pharynx / Q000382:microbiology
D019818:Clavulanic Acid; D000658:Amoxicillin
Zum Einsatz der maschinellen Autotransfusion bei Dysgnathie-operationen in der Mund-, Kiefer- und Gesichtschirurgie.