[Comparative evaluation of the efficacy of pre- and intraoperative reserving of autoblood in surgical treatment of ischemic heart disease and while using a Cell Saver].
A prospective investigation included 142 patients who had undergone operations of coronary bypass under conditions of extracorporeal circulation for ischemic heart disease. Two methods of taking blood were used: one day before operation and at the beginning of operation. The transfusion of autoblood was performed after cessation of the extracorporeal circulation. Cell saver was used during operations on all the patients. The preoperative reserving of autoblood promoted the greater degree of hemodilution (both during extracorporeal circulation and at the early postoperative period). The intraoperative reserving of autoblood led to saving higher indices of content of hemoglobin, number of erythrocytes and hematokrit index at the early postoperative period. However, when using the cell saver, the method of reserving blood (7-8 ml/kg of body mass) was of no substantial influence on the frequency of using the allogenic blood.
Naumenko
S E
SE
Pokrovskiĭ
M G
MG
Belavin
A S
AS
Kim
S F
SF
D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous; D006801:Humans; D007430:Intraoperative Care; D011300:Preoperative Care