Document Detail


Decreasing homologous blood transfusion in spinal surgery by use of the cell saver and predeposited blood.
MedLine Citation:
PMID:  2617358     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Blood loss and blood replacement are necessities in spinal surgery. They also have increasing risks. Three blood replacement options and combinations were investigated in patients undergoing major spinal deformity surgery. In Section 1, intraoperative replacement from harvested cell saver blood was investigated in 35 patients. This group averaged 40% (20-60%) return of the red cell mass lost intraoperatively. In Section 2, intraoperative replacement via predeposited autologous blood was investigated in 41 patients. The predeposited blood replaced 64% of the intraoperative red cell mass lost. In Section 3, ten single-stage and ten two-stage spinal surgery cases using both cell saver and autologous predeposited blood were investigated. With this program, 90% of the single-stage patients did not require additional homologous blood, while 80% of the two-stage patients did. In Section 4, 65 patients undergoing six general types of spinal surgery were examined to determine the number of predeposited autologous units needed to avoid homologous blood during hospitalization. Guidelines for determining optimal donation were developed assuming the use of intraoperative cell saver use.
Authors:
D C Mann; M R Wilham; E M Brower; C L Nash
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  14     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1989 Dec 
Date Detail:
Created Date:  1990-03-06     Completed Date:  1990-03-06     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1296-300     Citation Subset:  IM    
Affiliation:
Division of Orthopaedic Surgery, University of Wisconsin, Madison.
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MeSH Terms
Descriptor/Qualifier:
Blood Banks
Blood Transfusion*
Blood Transfusion, Autologous / methods*
Cell Separation / methods
Erythrocyte Transfusion
Humans
Intraoperative Period
Postoperative Period
Spinal Diseases / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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