Document Detail


Intraoperative autologous transfusion of hemolyzed blood.
MedLine Citation:
PMID:  19535693     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During two cases of lumbar spine surgery with instrumentation, we used intraoperative autologous transfusion (IAT), resulting in hemolysis during collection and hemoglobinuria and coagulation abnormalities after transfusion. Hemolysis during IAT collection can lead to hemoglobinuria and binding of nitric oxide, leading to vasoconstriction. The literature suggests that stroma from damaged cells and contact of the blood with the IAT device can lead to coagulation abnormalities and other morbidities, including adult respiratory distress syndrome.
Authors:
Tod B Sloan; Greg Myers; Daniel J Janik; Evalina M Burger; Vikas V Patel; Leslie C Jameson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  109     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-18     Completed Date:  2009-07-21     Revised Date:  2009-10-23    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  38-42     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, University of Colorado at Denver and Health Sciences Center, Anschutz Office West (AO1), PO Box 6511, 12631 E 17th Ave., Aurora, CO 80045, USA. tod.sloan@ucdenver.edu
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MeSH Terms
Descriptor/Qualifier:
Blood Loss, Surgical / prevention & control
Blood Transfusion, Autologous / methods*
Female
Hemolysis* / physiology
Humans
Intraoperative Care / methods*
Male
Middle Aged
Comments/Corrections
Comment In:
Anesth Analg. 2009 Nov;109(5):1706; author reply 1706-7   [PMID:  19843818 ]

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


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