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Hartzell V. Schaff
Timothy J. Gardner
James S. Donahoo
Levi Watkins, Jr.
Vincent L. Gott
Robert K. Brawley
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Ann Thorac Surg 1979;27:493-499
© 1979 The Society of Thoracic Surgeons

Articles

Routine Use of Autotransfusion Following Cardiac Surgery: Experience in 700 Patients

Hartzell V. Schaff, M.D., Jerome Hauer, M.H.S., Timothy J. Gardner, M.D., James S. Donahoo, M.D., Levi Watkins, Jr., M.D., Vincent L. Gott, M.D., Robert K. Brawley, M.D.*

From the Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD

* Address reprint requests to Dr. Brawley, Department of Surgery, The Johns Hopkins Hospital, 601 N Broadway, Baltimore, MD 21205

An autotransfusion technique has been developed for collection and reinfusion of shed mediastinal blood. This system has been routinely applied in the postoperative management of 592 consecutive adult and 108 pediatric cardiac surgical patients. Two hundred seventy-one adult patients (46%) and thirty-six pediatric patients (33%) actually received autologous blood. Autotransfusion volume ranged from 50 to 21,350 ml per patient. In 1976 at our institution, homologous transfusion requirements averaged 8.4 ± 0.7 units per adult patient. During 1978, with the routine use of postoperative autotransfusion, bank blood transfusions were lowered to 4.2 ± 0.3 units per patient (p < 0.001). In contrast to perioperative autotransfusion techniques, collection and reinfusion of shed mediastinal blood is particularly useful for intravascular volume replacement in patients with serious postoperative bleeding.




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