intraoperative blood salvage in vascular surgery – worth the effort术中血液血管手术救助u2014u2014值得付出努力.pdfVIP

Available online /content/8/S2/S53 Review Intraoperative blood salvage in vascular surgery – worth the effort? Julie Ann Freischlag The William Stewart Halsted Professor of Surgery, Director, Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA Correspondence: Julie Ann Freischlag, jfreisc1@ Published online: 14 June 2004 Critical Care 2004, 8(Suppl 2):S53-S56 (DOI 10.1186/cc2409) This article is online at /content/8/S2/S53 © 2004 BioMed Central Ltd Abstract Intraoperative autologous transfusions have been used for many years to avoid transmission of infections, especially in vascular surgery, where blood usage is considerable. Several autotransfusion devices exist, but these devices are often associated with negative outcomes such as cost, contamination, and removal of essential blood components (e.g. platelets). Preoperative autologous blood donation is another blood preservation method to avoid possible transfusion-related infections. Several vascular surgery groups have compared the use of these techniques, and their results are discussed in this review. Cell saver techniques often do not prevent the need for transfusions, nor are they very cost-effective; therefore, their use should be considered on a case-by-case basis. Keywords autologous, autotransfusion, blood, blood donation, blood preservation, transfusions Intraoperative autologous transfusions have been used over remove platelets and clotting factors. The RBC washing the past 20 years as a means to avoid giving