Routine Use of Autotransfusion Following Cardiac Surgery: Experience in 700 Patients

Hartzell V. Schaff, Jerome Hauer, Timothy J. Gardner, James S. Donahoo, Levi Watkins, Vincent L. Gott, Robert K. Brawley

Research output: Contribution to journalArticle

Abstract

An autotransfusion technique has been developed for collection and reinfusion of shed mediastinal blood. This system has been routinely applied in the postoperative management of 592 consecutive adult and 108 pediatric cardiac surgical patients. Two hundred seventy-one adult patients (46%) and thirty-six pediatric patients (33%) actually received autologous blood. Autotransfusion volume ranged from 50 to 21,350 ml per patient. In 1976 at our institution, homologous transfusion requirements averaged 8.4 ± 0.7 units per adult patient. During 1978, with the routine use of postoperative autotransfusion, bank blood transfusions were lowered to 4.2 ± 0.3 units per patient (p < 0.001). In contrast to perioperative autotransfusion techniques, collection and reinfusion of shed mediastinal blood is particularly useful for intravascular volume replacement in patients with serious postoperative bleeding.

Original languageEnglish (US)
Pages (from-to)493-499
Number of pages7
JournalAnnals of Thoracic Surgery
Volume27
Issue number6
DOIs
StatePublished - Jan 1 1979

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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