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 […]
Acute normovolemic hemodilution and intraoperative cell salvage in aortic surgery.
This retrospective study reviews the blood conservation strategy developed in patients undergoing infrarenal aortic surgery in a tertiary vascular unit from 1995 to 2001. The authors show that the judicious […]
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 […]
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 […]
The theory and practice of bloodless surgery.
A very thorough overview of all aspects of blood-sparing methods. – V. Kretschmer
Effectiveness of combined blood conservation measures in thoracic aortic operations with deep hypothermic circulatory arrest.
Note: See also the useful invited commentary by John A. Elefteriades on pages 743-4. – F. Regan and M. Contreras.
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 […]
Release of interleukin-10 by reinfusion of salvaged blood after knee arthroplasty.
Another confirmation that cell washing is essential to eliminate mediators contaminating wound blood, and that changes in interleukin levels are mainly dependent on other factors. – E. Hansen.
Are leukocytes in salvaged washed autologous blood harmful for the recipient? The results of a pilot study.
A well-conducted study on the quality of salvaged autologous blood. It shows that no leukocyte depletion is necessary for that blood. – E. Hansen.