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Complications of open repair of juxtarenal aortic aneurysm
Published in Sachinder Singh Hans, Mark F. Conrad, Vascular and Endovascular Complications, 2021
All open aortic surgery should be performed under general anesthesia. It is preferable for the anesthesia team to evaluate the patient prior to the day of surgery, so that appropriate time for developing an anesthetic plan, lines, and other means of hemodynamic monitoring is allowed. The use of an epidural for pain control in the postoperative period is useful. In addition, arrangements should be made for autotransfusion given the unavoidable amount of intraoperative blood loss.
Transfusion in Trauma
Published in Kenneth D Boffard, Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
Autotransfusion eliminates the risk of incompatibility and the need for crossmatching; the risk of transmission of disease from the donor is also eliminated. Autotransfusion is a safe and cost-effective method of sustaining RBC mass while decreasing demands on the blood bank. However, cell salvage in trauma patients is logistically challenging as, in the trauma patient, autotransfusion typically involves the collection of blood shed into wounds, body cavities – especially the chest, and drains.
Chest Wall Trauma
Published in Stephen M. Cohn, Matthew O. Dolich, Kenji Inaba, Acute Care Surgery and Trauma, 2016
Historically, autotransfusion has been described in both the civilian and military literature [23,24]. In 1957, Ferrara published an article in the Southern Medical Journal describing the technique at his facility for performing autotransfusion in the setting of a traumatic hemothorax [24]. The technique of autotransfusion with blood drained from a hemothorax has been described clinically for nearly 80 years [25]. Concerns regarding the safety of transfused blood have prompted reconsideration of the use of allogeneic (from an unrelated donor) red blood cell (RBC) transfusion, and a range of techniques to minimize transfusion requirements [26].
Effects of blood components of preoperative autologous blood donation on functions of myelopoietic stem cells
Published in Hematology, 2023
Yu Bai, Yongjun Su, Jinhuo Wang, Na Yao, Lishuang Duan, Tong Liu, Jianrong Guo
In recent years, transfusion safety and insufficient blood supply has become increasingly prominent, and autotransfusion has gradually attracted attention. Autotransfusion is a strategic blood supply method to compensate for surgical bleeding. It is a safe transfusion method in which a patient's own blood or blood components are collected and transfused back to them during or following surgery after storage or certain treatment [1]. This method avoids transfusion-related complications, such as blood-borne disease transmission and immunosuppression [2]. The patients who only receive autologous blood can eliminate risks including viral transmission, immune-mediated hemolysis, fever, and anaphylactic reaction and relieve the blood shortage [3]. Common clinical autotransfusion types include preoperative autologous blood donation (PABD), acute normovolemic hemodilution, and salvaged blood autotransfusion.
Expecting the unexpected: preventing and managing the consequences of coronary perforations
Published in Expert Review of Cardiovascular Therapy, 2018
Peter Tajti, Iosif Xenogiannis, Ivan Chavez, Mario Gössl, Michael Mooney, Anil Poulose, Paul Sorajja, Jay Traverse, Yale Wang, M. Nicholas Burke, Emmanouil S. Brilakis
Pericardiocentesis is the definitive treatment for tamponade and should be performed emergently if the patient becomes hemodynamically unstable. However, if a balloon is inflated promptly at the perforation site, the amount of blood entering the pericardium may be small, minimizing the risk for tamponade and often obviating the need for pericardiocentesis. Pericardiocentesis can often be performed with fluoroscopic guidance, as the pericardial effusion often contains angiographic contrast and is visible under X-ray, although transthoracic echocardiography remains more effective for detecting pericardial effusions and guiding drainage [24]. In hemodynamically unstable patients, however, there may not be enough time for echocardiography to be performed. The aspirated blood can be re-infused through a venous sheath (‘autotransfusion’) [25,26], especially if large volume of blood is aspirated.
Substernal goiter excision in a Jehovah’s Witness
Published in Baylor University Medical Center Proceedings, 2020
Omar Kholaki, Todd R. Wentland, Roderick Y. Kim
She elected to consult her local religious leader about the upcoming surgery. During this time, she was also referred to hematology for perioperative optimization. She was originally offered autotransfusion by donating blood preoperatively, but she was unable to afford this potential treatment. In addition, the exogenous nature of erythropoietin (EPO) injections was rejected as potential therapy. The final recommendation by the hematologist was iron supplementation at 325 mg daily, folic acid 1 mg daily, and vitamin B12 1000 mcg daily.