HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Johnson, R. G. Articles by Daggett, W. M. Search for Related Content PubMed PubMed Citation Articles by Johnson, R. G. Articles by Daggett, W. M.

The Annals of Thoracic Surgery, Vol 36, 173-179, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

The efficacy of postoperative autotransfusion in patients undergoing cardiac operations

RG Johnson, KR Rosenkrantz, RA Preston, C Hopkins and WM Daggett

The efficacy of postoperative autotransfusion in lowering the requirement for banked-blood transfusion was studied in two groups, each having 168 patients, who underwent cardiac operations between April, 1979, and May, 1980. A Sorenson autotransfusion system was available for use in the autotransfusion group, whereas the control group received routine closed mediastinal drainage. Of the autotransfusion group, 81% met the criterion for autotransfusion (mediastinal losses of 450 ml or more during 4 hours), but only 61% of the autotransfusion group actually received autologous blood (mean autotransfusion volume, 399 +/- 25 ml). The patients receiving autologous blood required significantly less banked blood than their matched controls (447 +/- 60 ml and 744 +/- 83 ml, respectively; p less than 0.001). In the subgroup of patients with large mediastinal losses (more than 1,250 ml), this difference was even greater (autotransfusion, 642 ml compared with control, 1,145 ml; p less than 0.01). Postoperative autotransfusion is a simple, safe, and cost- effective method to reduce dependence on banked blood, especially when mediastinal losses are large. Obtaining maximum benefit requires familiarity of staff with the system and use of a consistent protocol.

This article has been cited by other articles:

				L. Y. Lee, W. J. DeBois, K. H. Krieger, and O. W. Isom Transfusion Therapy and Blood Conservation Card. Surg. Adult, January 1, 2008; 3(2008): 415 - 430. [Full Text]

				L. Y. Lee, W. J. DeBois, K. H. Krieger, and O. W. Isom Transfusion Therapy and Blood Conservation Card. Surg. Adult, January 1, 2003; 2(2003): 389 - 400. [Full Text]

				A. Belboul and N. Al-Khaja Does heparin coating improve biocompatibility? A study on complement, blood cells and postoperative morbidity during cardiac surgery Perfusion, December 1, 1997; 12(6): 385 - 391. [Abstract] [PDF]

				R. A. Vertrees, V. R. Conti, S. D. Lick, J. B. Zwischenberger, L. B. McDaniel, and G. Shulman Adverse Effects of Postoperative Infusion of Shed Mediastinal Blood Ann. Thorac. Surg., September 1, 1996; 62(3): 717 - 723. [Abstract] [Full Text]

				J. P. Schonberger, P. A. Everts, J. J Bredee, E. Jansen, R. Goedkoop, J. H Bavinck, E. Berreklouw, and C. R. Wildevuur The effect of postoperative normovolaemic anaemia and autotransfusion on blood saving after internal mammary artery bypass surgery Perfusion, October 1, 1992; 7(4): 257 - 262. [Abstract] [PDF]

				B. P Bidstrup Review article : Blood conservation in cardiac surgery: can drugs help? Perfusion, July 1, 1988; 3(3): 171 - 177. [PDF]

				A. Berty, C. Doutremepuich, and E. Baudet Transfusional quality of residual blood from heart lung machine after extracorporeal circulation Perfusion, July 1, 1986; 1(3): 179 - 185. [Abstract] [PDF]