Adverse effects of cell saver in patients undergoing ruptured abdominal aortic aneurysm repair.
A retrospective analysis of 56 patients undergoing ruptured abdominal aortic aneurysm (AAA) repair was performed to find out if cell saver had any impact on postoperative morbidity and mortality. All patients but one were male. The mean age was 68 +/- 8 years (35-85 years). Cell saver was used in 40 patients (CS group) and was not used in 16 patients (NCS group). We compared the incidences of respiratory, renal, and gastrointestinal complications; reoperation; transfusion requirement; length of hospital stay; and mortality between the groups. This study demonstrated that intraoperative cell saver usage significantly increased the incidence of respiratory complications and the need for blood and fresh frozen plasma transfusion, and prolonged the hospital stay in patients with ruptured AAA, but did not have any impact on mortality. Postoperative complications were more prominent in patients who received >3000 mL cell saver blood.
Posacioğlu
Hakan
H
Department of Cardiovascular Surgery, Ege University Medical Faculty, Izmir, Turkey. posacioğlu@yahoo.com
Apaydin
Anil Ziya
AZ
Islamoğlu
Fatih
F
Calkavur
Tanzer
T
Yağdi
Tahir
T
Atay
Yüksel
Y
Büket
Suat
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000517:prevention & control; D001804:Blood Transfusion, Autologous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000009:adverse effects*; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome