Hypotension and acute pulmonary insufficiency following transfusion of autologous red blood cells during surgery: a case report and review of the literature.
An interesting case of TRALI caused by autologous packed RBCs evidently based on the non-immune mechanism by infusion of lipids accumulating during storage of RBCs. – Volker Kretschmer
Blood management after bilateral total knee arthroplasty.
An extremely large group of patients having bilateral knee arthroplasty has been studied. Without blood conservation measures, 98% required allogeneic transfusion! This study shows the somewhat limited benefits of predonation […]
Fever and autologous blood retransfusion after total knee arthroplasty: a prospective study of 40 autotransfusion events in 21 patients.
The authors report a postoperative increase in body temperature by 2C within 12 h and 1C within 2 h after autotransfusion in all of 21 patients receiving about 1000 mL […]
Influence of acid-citrate-dextrose anticoagulant on blood quality in retransfusion systems after total knee arthroplasty.
The authors propose to refrain from ACD anticoagulation in orthopedic postoperative autotransfusion. Their conclusion is not convincing. Products of activation of coagulation and fibrinolysis were not tested, although the main […]
Intraoperative low-volume acute normovolemic hemodilution in adult open-heart surgery.
In this prospective randomized study, intraoperative acute isovolemic hemodilution (ANH) was not associated with a reduction in the need for allogeneic blood transfusion. However, this study evaluated the contribution of […]
Mechanical methods of reducing blood transfusion in cardiac surgery: randomised controlled trial.
This study assesses the effectiveness of intraoperative cell salvage with or without normovolemic hemodilution in patients undergoing elective coronary artery bypass surgery. The results are not particularly new and the […]
Perioperative hemodilution.
This is an interesting review article on the use of acute normovolemic hemodilution as part of a blood conservation strategy in patients undergoing elective surgery. – P. Van der Linden
Perioperative blood salvage as an alternative to predonating blood for primary total knee and hip arthroplasty.
This retrospective study shows again that intra- and postoperative blood salvage can minimize allogeneic transfusions. For the recent discussion about the use of unwashed drainage blood the paper is remarkable […]
Detection and removal of fat particles from postoperative salvaged blood in orthopedic surgery.
The authors describe a new and interesting method for the detection of fat droplets in blood. The topic itself and the problem of fat in salvaged orthopedic wound blood is […]
Limited effectiveness of intraoperative autotransfusion in major back surgery.
This is a helpful report to design an autologous transfusion strategy. The conclusion is that one must extend blood salvage to the postoperative period or combine intraoperative blood salvage with […]
Time-related changes of collected shed blood in autologous retransfusion after total knee arthroplasty.
The prolonged collection of drained blood is problematic due the risk of bacterial contamination and to the exponential proliferation of bacteria at room temperature. Some countries prohibit collection exceeding 6 […]