Retransfusion des Thoraxdrainageblutes: qualitative Analyse. [Retransfusion of thoracic drainage blood: qualitative analysis]

Détails

ID Serval
serval:BIB_5EFFE25EEE8B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Retransfusion des Thoraxdrainageblutes: qualitative Analyse. [Retransfusion of thoracic drainage blood: qualitative analysis]
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Walpoth  B. H., Volken  U., Nydegger  U., Jutzi  H., Gersbach  P., Leupi  F., Schupbach  P., Althaus  U.
ISSN
0018-0181 (Print)
Statut éditorial
Publié
Date de publication
10/1990
Volume
57
Numéro
2
Pages
385-8
Notes
Clinical Trial
English Abstract
Journal Article
Randomized Controlled Trial --- Old month value: Oct
Résumé
In a prospective randomized study 10 patients received their shed mediastinal blood after elective coronary artery bypass surgery and were compared to 10 control patients without retransfusion. The quality assessment can be summarized as follows (mean +/- 1 SD): 1. Hemoglobin concentration of the shed blood was 9.6 +/- 1.45 g/dl. 2. The energy rich phosphate compounds of the shed blood erythrocytes were 2.6 +/- 0.8 mumol/gHb ATP (70% of the patients preoperative value) and 14.8 +/- 4.2 mumol/gHb 2.3-DPG (normal). 3. Proteins, immunoglobulins and especially albumin in the shed blood were not significantly different from the patients own values. 4. No electrolyte changes, safe for a slight increase in potassium (5.7 +/- 0.7 mmol/l). 5. The activated clotting time of the patient did not change during retransfusion. 7. Plasma free hemoglobin was elevated to 211.1 +/- 44.3 mg/dl in the shed blood; however, no significant increase could be noted in the retransfused patients and no hemoglobinuria occurred. Postoperative retransfusion of shed mediastinal blood is a simple and safe method of autologous transfusion early after cardiac surgery and should be combined with other methods of blood salvage. The qualitative advantages of blood retransfusion consist in the absence of storage damage and in the preservation of autologous proteins and immunoglobulins.
Mots-clé
Blood Chemical Analysis Blood Transfusion, Autologous/*instrumentation *Chest Tubes Coronary Artery Bypass/*instrumentation Coronary Disease/blood/*surgery Humans Prospective Studies
Pubmed
Web of science
Création de la notice
28/01/2008 10:17
Dernière modification de la notice
20/08/2019 15:16
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