scholarly journals Management of intraperitoneal hemorrhage bleeding as a complication of a gynecologic disease

2014 ◽  
Vol 95 (2) ◽  
pp. 211-216
Author(s):  
O Ya Nazarenko ◽  
S V Timofeyeva
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Blood Transfusion ◽  
Blood Loss ◽  
Autologous Blood ◽  
Blood Substitutes ◽  
Autologous Blood Transfusion ◽  
Blood Products ◽  
Female Patients ◽  
Intraperitoneal Hemorrhage

Aim. To evaluate the effectiveness of intra- and post-surgical resuscitation targeted at blood loss replacement in patients with moderate, severe and profuse intraperitoneal hemorrhage caused by ectopic pregnancy and ovarian apoplexy. Methods. Heart rate variability and cardiac intervals assessment were used as additional criteria for patient monitoring. 97 female patients with intraperitoneal hemorrhage of 500-1500 ml underwent endoscopic surgery. Autologous blood transfusion, as well as packed blood products and blood substitutes were used for blood loss replacement. Heart rate variability assessment and analysis of cardiac intervals indicate that pathogenesis of adaptation and blood loss compensation in female patients with intraperitoneal hemorrhage exceeding 500 ml depends on blood loss volume and methods of blood loss replacement. Results. Parameters of adaptation and blood loss compensatory mechanisms in patients with moderate and severe blood loss, who underwent intrasurgical autologous blood transfusion, were close to normal values at days 7 and 14 after treatment. Patients with severe and profuse intraperitoneal hemorrhage treated with packed blood products had the longest red blood count and heart rate variability recovery period. Conclusion. Heart rate variability assessment allowed effectively estimating the treatment effect in female patients with intraperitoneal hemorrhage as a complication of a gynecologic disease exceeding 500 ml.

Acute Isovolaemic Haemodilution: The Best Option for Autologous Blood Transfusion in Africa?

1995 ◽  
Vol 25 (4) ◽  
pp. 152-155 ◽  
Author(s):  
Zacharia A Berege ◽  
Bart Jacobs ◽  
Michael R Matasha ◽  
Frank Mpelumbe ◽  
Ernestini Kimaro
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Autologous Blood ◽  
Autologous Blood Transfusion ◽  
Total Blood Volume ◽  
East African ◽  
Homologous Blood ◽  
Total Blood ◽  
Induction Of Anaesthesia ◽  
Donated Blood

The purpose of this study was to identify the best method of autologous blood transfusion to be applied in an East African hospital. One hundred and nine consecutive patients for whom major blood loss was anticipated were enrolled. Seventeen patients donated 1 unit of blood 3 days preoperatively and 92 underwent acute isovolaemic haemodilution prior to induction of anaesthesia. For the haemodiluted patients a 2:1 ratio of sterile pryogen-free saline to collected blood was used. One of the 16 patients from whom 2 units were withdrawn by haemodilution experienced hypovolaemia which was rapidly restored by additional transfusion of colloid. Of the patients who donated blood preoperatively only 23.5% were autotransfused compared to 98.9% of the haemodiluted patients. Of the latter 23.9% (22) had an intraoperative blood loss exceeding 15% of their total blood volume and 7.6% (7) lost more than 25%. Only one received homologous blood in addition. For hospitals with limited blood bank facilities and regular cancellation of surgery, the use of acute isovolaemic haemodilution is recommended. A 3:1 ratio of saline to blood is now advised when 1 unit is withdrawn and a part replacement with crystalloid when 2 units are collected.

Be your own donor: An insight into the technique of Autologous blood transfusion

2011 ◽  
Vol 3 (2) ◽  
pp. 28-30
Author(s):  
Rajendra Desai ◽  
Johnathan Theodore ◽  
Shubhalakshmi LNU ◽  
Kiran V. Nesvi
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Autologous Blood ◽  
Maxillofacial Surgery ◽  
Major Influence ◽  
Oral And Maxillofacial Surgery ◽  
Autologous Blood Transfusion ◽  
Mortality And Morbidity ◽  
Insight Into

Abstract Blood loss has a major influence on mortality and morbidity after surgery. Homologous transfusion has long been in use. With the awareness of associated complications such as risk of transmission of hepatitis and HIV associated with use of homologous transfusion, autologous blood transfusion has gained importance. This paper is an attempt to review the method of autologous blood transfusion, as well as its application in oral and maxillofacial surgery.

scholarly journals Fresh Autologous Blood Transfusion and Platelet Counts after Cardiopulmonary Bypass Surgery

1982 ◽  
Vol 10 (4) ◽  
pp. 348-352 ◽  
Author(s):  
V. S. Iyer ◽  
W. J. Russell
Keyword(s):  
Platelet Count ◽  
Blood Transfusion ◽  
Blood Loss ◽  
Autologous Blood ◽  
Early Postoperative Period ◽  
Postoperative Blood Loss ◽  
Control Group ◽  
Substantial Part ◽  
Autologous Blood Transfusion ◽  
Platelet Counts

The effect of fresh autologous blood transfusion on platelet count and blood requirement in the early postoperative period is examined in a control group and in patients receiving early and late autologous replacement. Withdrawal of blood in the autologous groups appeared to enhance platelet numbers as the autologous groups had higher mean platelet counts than the control group immediately after bypass, in spite of having lower mean haematocrit. After bypass all groups showed a progressive rise in platelet count with time. A substantial part of the rise was explained by haemoconcentration resulting from fluid shifts but there was also an increase in the total circulating platelet numbers. There was no difference in postoperative blood loss between the three groups. Autologous blood replacement hastens the postoperative rise in platelet count but does not alter the postoperative blood loss.

scholarly journals Blood Transfusion in Obstetrics

2015 ◽  
Vol 11 (4) ◽  
pp. 355-359 ◽  
Author(s):  
A Nigam ◽  
A Prakash ◽  
P Saxena
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Autologous Blood ◽  
Fresh Frozen Plasma ◽  
Blood Substitutes ◽  
Physiological Basis ◽  
Intraoperative Cell Salvage ◽  
Fresh Frozen ◽  
Donated Blood ◽  
Transfusion Reactions

Transfusion of blood and blood components is a common practice in obstetric wards but it is not without risk. The incidence of transfusion reactions varies from 4 in every hundred transfusions for non-haemolytic reactions to one in every 40,000 for haemolytic transfusion reactions. The physiological basis of blood transfusion is outlined in this article. Most of the donated blood is processed into components: packed red cells (PRBCs), platelets, and fresh frozen plasma (FFP) or cryoprecipitate. Various alternatives to blood transfusion exist and include autotransfusion, pre-autologous blood storage, use of oxygen carrying blood substitutes and intraoperative cell salvage. Despite the risks associated with transfusions, obstetricians are frequently too aggressive in transfusing blood and blood products to their patients. Acute blood loss in obstetrics is usually due to placenta praevia, postpartum blood loss and surgery related. An early involvement of a consultant obstetrician, anaesthetist, haematologist and the blood bank is essential. There are no established criteria for initiating red cell transfusions and the decision is purely based on clinical and haematological parameters, which have been discussed along with the general principles of blood transfusion in obstetrics and some practical guidelines.Kathmandu Univ Med J 2013; 11(4): 355-359

scholarly journals Autologous blood transfusion in patients undergoing hip replacement surgery

2014 ◽  
Vol 67 (3-4) ◽  
pp. 101-107 ◽  
Author(s):  
Ivana Tesic ◽  
Jovan Sekulic ◽  
Vladimir Arbutinov ◽  
Dragana Popov ◽  
Dusan Velisavljev
Keyword(s):  
Blood Transfusion ◽  
Blood Donation ◽  
Autologous Blood ◽  
Oral Iron ◽  
Allogeneic Blood ◽  
Control Group ◽  
Autologous Blood Transfusion ◽  
Blood Products ◽  
Post Operative Period ◽  
Experimental Group

Introduction. Autologous blood transfusion is a set of procedures done in order to collect a patient?s blood and reinfuse it during or after a surgical intervention. The aim is to meet the patient?s need for blood products without allogeneic transfusion. By observing the hemoglobin and hematocrit values during blood donation in the pre-operative and post-operative period and by counting transfused blood units, the aim of this article was to detect whether there was any difference between the patients receiving autologous blood and those receiving only allogeneic blood. Material and Methods. This prospective study was performed at the General Hospital ?Djordje Joanovic? Zrenjanin from October 24th, 2011 to January 24th, 2013. The study included 60 patients who were divided into the experimental group of 30 patients who had been transfused autologous blood and the control group of 30 patients who had been transfused only allogeneic blood. Results. The average values of hemoglobin and hematocrit in the first and the second donation were 148.9 g/l and 44.2%, and 138.7 g/l and 40.8%, respectively. Oral iron preparation was given to 12 patients for two weeks before the first donation. The level of hemoglobin and hematocrit in both groups of patients had approximately the same values in the pre-operative and post-operative period. In the post-operative period, 2.53 units were transfused per patient in the experimental group and 3.73 units were transfused per patient in the control group. Conclusion. Administration of pre-operatively donated autogenous blood reduces the number of transfused deplasmatised erythrocytes units in comparison to the number of units transfused to the patients receiving only allogeneic blood products. The pre-operative use of oral iron preparations increases hemoglobin values significantly.

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