Intra- and Postoperative Autotransfusion in Open Heart Surgery Under Simple Hypothermia in Children

Overview

Journal Jpn J Surg

Specialty General Surgery

Date 1980 Mar 1

PMID 7373950

Citations 1

Authors

K Matsumoto

M Tomita

Y Koga

K Shibata

H Baba

N Uchida

I Iwamoto

Affiliations

Soon will be listed here.

Abstract

A new autotransfusion unit was developed by the authors and the favorable results of 21 operations of open heart surgery under simple hypothermia were described. The patients were all children with simple congenital heart diseases. The amounts of autotransfused blood ranged from 2.8 to 15.5 ml/kg. Intraoperative autotransfusion proved to be an effective means of minimizing blood loss during surgery (range 3.2 to 12.8 ml/kg) and performing open heart surgery without donor blood transfusion. Postoperative autotransfusion (range 0 to 14.3 ml/kg) served as a supplementary means of avoiding homologous blood transfusion. Among the 21 autotransfused patients, there were no complications, while two patients developed hepatitis out of 19 patients who received homologous blood in the control group.

Citing Articles

Intraoperative autotransfusion. Experience in 725 consecutive cases.

Keeling M, GRAY Jr L, Brink M, Hillerich V, Bland K Ann Surg. 1983; 197(5):536-41.

PMID: 6405702 PMC: 1353027. DOI: 10.1097/00000658-198305000-00006.

References

Huggins C, Russell P, Winn H, Fuller T, BECK Jr C . Frozen blood in transplant patients: hepatitis and HL-A isosensitization. Transplant Proc. 1973; 5(1):809-12. View

LATHEM W . The renal excretion of hemoglobin: regulatory mechanisms and the differential excretion of free and protein-bound hemoglobin. J Clin Invest. 1959; 38(4):652-8. PMC: 293204. DOI: 10.1172/JCI103843. View

Pathak U, Stewart D . Autotransfusion in ruptured ectopic pregnancy. Lancet. 1970; 1(7654):961-4. DOI: 10.1016/s0140-6736(70)91094-9. View

Ochsner J, Mills N, LEONARD G, Lawson N . Fresh autologous blood transfusions with extracorporeal circulation. Ann Surg. 1973; 177(6):811-7. PMC: 1355976. DOI: 10.1097/00000658-197306000-00022. View

Klebanoff G . Early clinical experience with a disposable unit for the intraoperative salvage and reinfusion of blood loss (intraoperative autotransfusion). Am J Surg. 1970; 120(6):718-22. DOI: 10.1016/s0002-9610(70)90066-8. View

Solis R, Gibbs M . Filtration of the microaggregates in stored blood. Transfusion. 1972; 12(4):245-50. DOI: 10.1111/j.1537-2995.1972.tb00042.x. View

Klebanoff G, Phillips J, Evans W . Use of a disposable autotransfusion unit under varying conditions of contamination. Preliminary report. Am J Surg. 1970; 120(3):351-4. View

Wall W, Heimbecker R, McKenzie F, Robert A, Barr R . Intraoperative autotransfusion in major elective vascular operations: a clinical assessment. Surgery. 1976; 79(1):82-8. View

IWA T, Tsuchiya K, Kawakita K, Nagai A, Bando K . [Open heart surgery with autologous blood]. Nihon Kyobu Geka Gakkai Zasshi. 1975; 23(9):1099-106. View

10.

CUELLO L, Vazquez E, Rios R, RAFFUCCI F . Autologous blood transfusion in thoracic and cardiovascular surgery. Surgery. 1967; 62(4):814-8. View

11.

BENNETT S, Geelhoed G, TERRILL R, HOYE R . Pulmonary effects of autotransfused blood. A comparison of fresh autologous and stored blood with blood retrieved from the pleural cavity in an in situ lung perfusion model. Am J Surg. 1973; 125(6):696-702. DOI: 10.1016/0002-9610(73)90167-0. View

12.

Relihan M, Olsen R, Litwin M . Clearance rate and effect on renal function of stroma-free hemoglobin following renal ischemia. Ann Surg. 1972; 176(6):700-4. PMC: 1355465. DOI: 10.1097/00000658-197212000-00003. View

13.

Guidoin R, Laperche Y, Martin L, Awad J, Winchester J . Disposable filters for microaggregate removal from extracorporeal circulation. J Thorac Cardiovasc Surg. 1976; 71(4):502-16. View

14.

Okamura H . Inhalation anesthesia for simple deep hypothermia induced by surface cooling. Med J Osaka Univ. 1969; 20(1):29-79. View

15.

Dyer Jr R, Alexander J, Brighton C . Atraumatic aspiration of whole blood for intraoperative autotransfusion. Am J Surg. 1972; 123(5):510-4. DOI: 10.1016/0002-9610(72)90211-5. View

16.

Dyer Jr R . Intraoperative autotransfusion. A preliminary report and new method. Am J Surg. 1966; 112(6):874-8. DOI: 10.1016/0002-9610(66)90142-5. View

17.

Prince A, Brotman B, GRADY G, Kuhns W, HAZZI C, Levine R . Long-incubation post-transfusion hepatitis without serological evidence of exposure to hepatitis-B virus. Lancet. 1974; 2(7875):241-6. DOI: 10.1016/s0140-6736(74)91412-3. View

18.

Lawson N, Ochsner J, Mills N, LEONARD G . The use of hemodilution and fresh autologous blood in open-heart surgery. Anesth Analg. 1974; 53(5):672-83. View

19.

Takagi A, Wanibuchi Y, Yokote Y, Omoto R, Furuta S . [31 cases of heart surgery without blood transfusion]. Kyobu Geka. 1976; 29(9):640-5. View