The value and limitations of autotransfusion in traumatology

29 autotransfusions were realised in severe cases of trauma (20% of a sample of 143 traumatic emergencies). The recovery of haemothorax blood as well as the peroperative collection by a Cell Saver allowed the retransfusion of 1989 +/- 1,838 ml (225-7070 ml) of autologous blood, amounting to 56% of t...

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Bibliographic Details
Published in:	Cahiers d'anesthesiologie Vol. 40; no. 4; p. 247
Main Authors:	Almanza, L, Diraison, Y, Lereveille, R, Le Manach, Y, Brinquin, L, Bonsignour, J P
Format:	Journal Article
Language:	French
Published:	France 1992
Subjects:	Adult Blood Transfusion, Autologous - instrumentation Blood Transfusion, Autologous - methods Cell Separation Hemothorax Humans Middle Aged Paris - epidemiology Retrospective Studies Wounds and Injuries - epidemiology Wounds and Injuries - therapy Paris
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Summary:	29 autotransfusions were realised in severe cases of trauma (20% of a sample of 143 traumatic emergencies). The recovery of haemothorax blood as well as the peroperative collection by a Cell Saver allowed the retransfusion of 1989 +/- 1,838 ml (225-7070 ml) of autologous blood, amounting to 56% of the average blood loss. A total of 69% of the patients received homologous blood. Eight patients (where the haemorrhage amounted to 143% of the blood volume) showed some coagulation troubles. Autotransfusion assures the immediate availability of blood while reducing the immunological and viral transfusion risks. Therefore haemothorax autotransfusion should be used systematically. Peroperative recollection by a cell-separator works well but is technically more tedious.
ISSN:	0007-9685