Effectiveness of single and double predonation combined with postoperative recuperation for blood salvage in scoliosis surgery
Journal Title: Postępy Nauk Medycznych - Year 2012, Vol 25, Issue 6
Abstract
<b>Introduction.</b> The autotransfusion is promoted for patients undergoing scoliosis surgery as a recognized mean for reducing homologous transfusion need. There is a deficiency of studies which directly compare this procedure in similar groups of patients managed alternatively with or without autotransfusion.<br><b>Material and methods.</b> Retrospective analysis with control group. Forty two consecutive patients (study group), mean age 15.1 years, underwent the autotransfusion program (subgroup 1.1 – 22 patients who had single and subgroup 1.2 – 20 patients who had double predonation) while having posterior instrumentation for idiopathic scoliosis. Preoperative donation and postoperative recuperation were performed in the study group. The number of instrumented segments varied from 6 to 14, mean 9.9 ± 1.9; the mean time of operation was 190.8 ± 36.7 minutes. The control group was adopted from Lisander et al. (1) and consisted of thirteen patients matched by age, sex, type of surgery, time of operation and the number of instrumented vertebrae. No autotransfusion was carried out in the control group.<br><b>Results.</b> Predonated volume in subgroup 1.1 varied from 250 to 520 ml, mean 324 ml and in subgroup 1.2 respectively from 400 to 1040, mean 762. Postoperatively recuperated and retransfused blood volume in subgroup 1.1 varied from 200 to 1350 ml, mean 653 ml and in subgroup 1.2 from 320 to 950 ml, mean 681 ml. In subgroup 1.1 nine patients (41%) and in subgroup 1.2 eleven patients (55%) avoided homologue transfusion. 5.5 homologous blood units on the average were transfused to patients from the control group while 1 unit to patients from the study group (p < 0.001).<br><b>Conclusions. </b>Simple and costless procedures of single or double predonation and postoperative blood recuperation significantly reduced but not completely avoided homologous transfusion in adolescents undergoing surgery for scoliosis. More patients with double predonation than with single predonation avoided homologous transfusion.
Authors and Affiliations
Marek Tomaszewski, Tomasz Kotwicki, Andrzej Szulc
Keywords
Related Articles
- EP ID EP54471
- DOI -
- Views 137
- Downloads 0
Alergia kontaktowa na preparaty glikokortykosteroidowe
Glikokortykosteroidy zaliczają się do najpopularniejszych środków leczniczych stosowanych we współczesnej medycynie. Alergia kontaktowa na glikokortykosteroidy stanowi duże wyzwanie diagnostyczne i terapeutyczne, bowiem...
Od Halsteda do leczenia oszczędzającego, czyli krótka historia chirurgii raka gruczołu piersiowego
Rak gruczołu piersiowego jest najczęstszym nowotworem złośliwym wśród kobiet. W leczeniu podstawową rolę odgrywa chirurgia. Leczenie chirurgiczne raka sutka zmieniało się na przestrzeni lat. Głównym kierunkiem w rozwoju...
Iodine prophylaxis
Currently nearly 2 billion people of the world have insufficient iodine intake; one third ofthem are the children. The highest prevalence of iodine insufficiency is in Europe, where50% of people is mildly to moderately i...
Blood pressure control in peritoneal dialysis patients
Hypertension is a common finding in dialysis patients. Over 50 to 60% of HD patients and nearly 30 % PD patients are hypertensive. Hypertension is the prime contributor for cardiovascular diseases in dialysis patients.
Niebezpieczeństwa polipragmazji w neurologii
Polipragmazja jest we współczesnej medycynie coraz częściej normą raczej niż sytuacją wyjątkową. Bywa ona stosowana celowo (zwykle w celu potencjalizacji efektu terapeutycznego), częściej jednak pojawia się w sposób mimo...