Document Detail


Use of the cell saver during elective abdominal aortic aneurysm surgery--influence on transfusion with bank blood. A retrospective survey.
MedLine Citation:
PMID:  1750636     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred and two patients undergoing elective abdominal aortic aneurysm repair and admitted to ICU at RPAH in 1989/90 were studied. In forty patients a cell saver was used during the operative procedure (Group CS) while in the remaining sixty-two patients intraoperative blood loss was drained and discarded conventionally (Group NCS). Preoperative ASA grade and postoperative APACHE score were similar in these two groups. The amount of bank blood transfused intraoperatively was less in Group CS than in Group NCS (0.6 +/- 0.2 vs 3.3 +/- 0.3 units) (mean +/- SEM) (P less than 0.0001). The total amount of bank blood transfused during hospital admission was also less in Group CS (1.5 +/- 0.4 vs 4.8 +/- 0.4 units, P less than 0.0001). Of Group CS, 22 patients (55%) received no bank blood compared to two patients (3%) in Group NCS. There was no difference between the groups with respect to postoperative haemoglobin and creatinine levels. ICU stay was similar in both groups. We conclude that use of the cell saver reduces perioperative bank blood transfusion in elective abdominal aortic surgery.
Authors:
G Brown; M Bookallil; R Herkes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  19     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  1991 Nov 
Date Detail:
Created Date:  1992-01-23     Completed Date:  1992-01-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  546-50     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia and Intensive Care, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aorta, Abdominal / surgery
Aortic Aneurysm / surgery*
Blood Banks / utilization
Blood Loss, Surgical
Blood Transfusion* / utilization
Blood Transfusion, Autologous / methods*
Female
Hemoglobins / analysis
Humans
Male
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
0/Hemoglobins

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


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