Document Detail

A simplified device for intraoperative autotransfusion.
MedLine Citation:
PMID:  3186105     Owner:  NLM     Status:  MEDLINE    
Intraoperative autotransfusion, a widely accepted adjunct in many surgical disciplines, has been underused in obstetrics and gynecology. This report describes a new device for autotransfusion that is simpler to operate than traditional systems requiring a technician. The device was used successfully in two obstetric patients with life-threatening intraoperative hemorrhage, one with abdominal pregnancy and the other with postpartum hemorrhage. The patients received autotransfusions of 1700 and 2200 mL, respectively, without incident. Advantages of autotransfusion over banked blood include avoidance of alloimmunization, reduction of transfusion reactions and blood-borne infections, less expense, and acceptance by most religious groups. Disadvantages include potential hemolysis and limited usefulness in the presence of bacterial contamination or malignancy. On balance, the benefits of autotransfusion outweigh the risks.
D A Grimes
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  72     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1988 Dec 
Date Detail:
Created Date:  1988-12-22     Completed Date:  1988-12-22     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  947-50     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Women's Hospital, University of Southern California School of Medicine, Los Angeles.
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MeSH Terms
Blood Transfusion, Autologous / instrumentation*,  methods
Genitalia, Female / surgery
Hemorrhage / therapy
Intraoperative Complications / therapy

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